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Home My WebLink About04-0508 PETITION FOR GRANT OF LETTERS OF ADMINISTRATION also known as To: Register of Wills for lhe . Deceased. County of ~"~'~'~-~-~!s~ ~ in the Social Security No. lt ~,~ -- {_~ ~, --~'~'~$"' Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), ~who is/are 18 years of age or older, appl t ~ ~ for letters of administration /7.,;ne,~.',,. ~ ~,~ g,~ on the estate of (d.b.n.; pendente lite; durante absentia; durante minoritate) the above decedent. Decendent was domiciled at death in F~"~/L J,._,,__ ~' · , Cqunty, P, ennsylvania, with ! / h ! ~ last family or principal residence at (list street, number and municipality) Decendent, then /I ~;~ years of age, died /~.n. at Decendent at death owned property with estimated values as folllows: (If domiciled in Pa.) All personal property $ (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: Petitioner after a proper search ha~' ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: Name Relationship Residence THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriate form to the undersigned. OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF ~ ,. .,,.. ff¢//~.A/, sS The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal representative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed f~~,~,~ ~' before me this day of ~,~ 19 4~ ~ Register [ m'~ No. Estate of , Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW 19 , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration are hereby granted to in the estate of Register of Wills Letters of Administration ..... $. Short Certificates( ) .......... $. ATTORNEY (Sup. Ct. I.D. No.) Renunciation ................ $.__ TOTAL __ $.__ ADDRESS Filed ..................... A.D. 19 o~cqe/- (.o 0'70 PHONE Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717)240-6345 Date: 09/01/2004 HOCKENBERRY KELLY RAY 15 REHOBETH ROAD SHIPPENSBURG, PA 17257 RE: Estate of HOCKENBERRY NATHAN RAY File Number: 2004-00508 Dear Sir/Madam: It has come to my attention that you have not filed the Certification of Notice Under Rule 5.7 (a) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within ten (10) days after giving proper notice to the beneficiaries and intestate heirs as required by subdivision (a) of Rule 5.7, shall file with the Register of Wills or Clerk of the Orphans' Court his/her Certification of Notice. This filing will become delinquent on 09/07/2004 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, G~ ~.~'jA FARNER S~ Clerk of the Orphans' Court cc: File Counsel Judge IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA 1N RE: ESTATE OF NATHAN HOCKENBERRY: : No. 2004-00508 ORDER OF COURT AND NOW, this/~ l~ay of December, 2004, upon consideration of the attached Petition for Approval of Settlement, a hearing is scheduled for /~4.d ~ ~&.~t~t~ ~.~t~g,4a~t~/,,ff , 200,fi__ at, Ill ('~o'clock/~ m. in Courtroom ~ of the Cumberland County Courthouse, Carlisle, Pennsylvania. By the Cou~c~,~ J. Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717)240-6345 Date: 09/01/2004 HOCKENBERRY SANDRA LOUISE 15 REHOBETH ROAD SHIPPENSBURG, PA 17257 RE: Estate of HOCKENBERRY NATHAN P~AY File Number: 2004-00508 Dear Sir/Madam: It has come to my attention that you have not filed the Certification of Notice Under Rule 5.7 (a) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within ten (10) days after giving proper notice to the beneficiaries and intestate heirs as required by subdivision (a) of Rule 5.7, shall file with the Register of Wills or Clerk of the Orphans' Court his/her Certification of Notice. This filing will become delinquent on 09/07/2004 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ARNER Clerk of the Orphans' Court cc: File Counsel Judge CERTIFICATION OF NOTICE UNDER RULE 5.6 (a) Name of Decedent: Nathan Hockenberry Date of death: May 14, 2004 Will No. None Admin. No. 21-04-0508 TO THE REGISTER: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphan's Court Rules was served on or mailed to the following beneficiaries of the above captioned estate. Name Address Lariah-Ann Wilson c/o Nathan C. Wolf, Esquire 37 S. Hanover Street Carlisle, PA 17013 Notice has now been given to all persons entitled thereto under Rule 5.6 (a). Respectfully submitted, K~I E. Rominger, Esquire 155 South Hanover Street Carlisle, PA 17013 (717) 241-6070 Supreme Court ID # 81924 Capacity as Counsel for Personal Representative NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA 1N RE: Nathan Hockenberry, deceased May 14, 2004, No. 21-04-0508 TO: Lariah-Ann Wilson c/o Nathan C. Wolf, Esquire 37 S. Hanover St., Suite 201 Carlisle, PA 17013 Please take notice of the death of decedent and the grant of letters to the personal representative named below. You may have a beneficial interest in the estate as follows: Name of Decedent: Nathan Hockenberry Last known address of Decedent: 15 Rehobeth Road, Shippensburg, Penti~vania 1.7257 :~ Date of death: May 14, 2004 ~ ~':~ :' Place of death: West Pennsboro Township, Cumberland County, US Rte?i 1 ~ P~'Rt. 233:. ' County of grant of original letters: Cumberland co ~" Decedent died intestate, o~ A copy of the will is not attached. Name, address and telephone number of all personal representative appointed: Kelly Ray and Sandra Louise Hockenberry, 15 Rehobeth Road, Shippensburg, Pennsylvania 17257, (717) 530-1714. Name, address and telephone number of counsel: Karl E. Rominger, Esquire 155 South Hanover Street Carlisle, PA 17013 (717) 241-6070 Additional information may be obtained from the undersigned. E. Rominger, Esquire IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA IN RE: ESTATE OF NATHAN HOCKENBERRY: : No. 2004-00508 PETITION FOR APPROVAL OF SETTLEMENT 1. Your Petitioners, Kelly Ray and Sandra Louise Hockgfi~erry,:. 0~4e the _ personal representatives for the Estate of Nathan Hockenberry~ho is the deceased father of the minor, Ladah-Ann Made Wilson. ~ 2. The minor child, Lariah-Ann Wilson, was bom on September !:~ 2003. Her Social Security Number is 162-82-2217. 3. On May 14, 2004, Nathan Hockenberry was killed in a motor vehicle accident. At the time of his death he was single and had one minor child, Ladah-Ann Made Wilson. 4. Kelly Ray and Sandm Louise Hockenberry were appoimed the administrator and administratrix of the estate of Nathan Hockenberry on May 28, 2004, by Glenda Farner Strasbaugh, the Register of Wills of Cumberland County. 5. At this time, the only outstanding bill due is for the funeral services in the amount of $4,935.00. 6. The respondent Darlene Hall is covered by a policy of automobile liability insurance in the amount of $100,000.00. Said policy was issued by the Progressive Insurance Company. 7. Progressive Insurance Company has agreed to pay the full policy amount of $100,000.00, as the result of the death of Nathan Hockenberry. 8. At the time of the death, LrllVff~ coverage in the amount of $55,000.00 was available through the Nationwide Insurance Companies and Nationwide Insurance Company has agreed to pay the full $55,000.00 for the wrongful death action of Nathan Hockenberry. 9. All sums set forth above constitute damages on account of personal injury/wrongful death, arising from the occurrence, within the meaning of § 104 (a) (2) of the Internal Revenue Code of 1986, as mended. 10. It is requested that the Court authorize that $5,000.00 be paid to Kelly Ray and Sandra Louise Hockenberry for the wrongful death of their late son. 11. It is further requested that $5,000.00 be paid to Tasha Wilson, the natural mother of Lariah Marie Wilson. 12. It is requested that $4,935.00 dollars be made available to pay the funeral bill. Which is attached as Exhibit "A". 13. Further, your petitioners requests that this Court allow the $55,000.00 from the Nationwide Insurance Company to be placed in a structure for the minor child to paid as follows: (a) in annual payments from the ages of eighteen to twenty-one (18-21 ) in the amount for each of those years be $12,917.25 for a total of $51,669.00. (b) The three lump sum payments payable as follows: (i) $35,389.00 at twenty-five (25), (ii) $64,614.43 at thirty-five (35), (iii) $53,886.61 at age fifty (50), (iv) the total cost of the structure of $55,000.00, and (c) total payout over the life of the child guaranteed being $405,559.72. Which is attached as Exhibit "B". 14. The total value of the settlement to the child is thus $505, 554.72. 15. The parents of the minor child and the personal representatives of the Estate of Nathan Hockenberry, have entered into a Contingency Fee Agreement with Rominger, Bayley and Whare for twelve (12%) percent of the first $55,000.00 of the recovery made on behalf of the aforesaid minor, and for twenty-five (25%) percent of recovery made on behalf of the aforesaid amount in excess of the same. Which is attached as Exhibit 16. The total fee to be authorized is $31,600.00, which is 20.38% of $155,000.00 17. Tasha Wilson, mother of minor child, and Kelly Ray Hockenberry, Administrator and Sandra Hockenberry, Administratrix of the Estate of Nathan Hoekenberry signed Settlement Statements regarding this matter. Which is attached as Exhibits "D" and "E". 18. The Estate will be executing the Joint Tort Feasor Releases which will preserve the fight of the estate or other interested parties to pursue additional legal remedies and to bring suit or other cause of action deemed appropriate against any other responsible parties. It is specific intent in seeking Court approval the Court approve payment under the Joint Tort Feasur Releases required by the Rules of Civil Procedure since a minor is involved, not that Court approval in any way limit the rights of Petitioner to seek any other relief from any other party. Which is attached as Exhibit "C". 19. Any and all remaining monies will be placed in a federally insured bank or saving institution as permitted by the Rules of Civil Procedure, and it is requested that the Court specifically authorize said federally insured bank or savings institution to invest the same in any federally insured vehicle and to pay income tax on behalf of the minor in said account or accounts. WHEREFORE, your Petitioners prays that the settlements aforereferenced be approved. ROMINGER, BAYLEY & WHARE Karl E. Rominger, Esquire 155 South Hanover Street Carlisle, PA 17013 (717) 241-6070 Supreme Cou~ ID # 81924 Attorney for Petitioners IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA IN RE: ESTATE OF NATHAN HOCKENBERRY: : No. 2004-00508 CERTIFICATE OF SERVICE AND NOW, this 9t~ day of December, 2004, I, Karl E. Rominger, Esquire, hereby certify that I have this day served the following persons with a copy of the Petition for Approval of Settlement by depositing same in the United States Mail, first class postage prepaid, at Carlisle, Pennsylvania, addressed as follows: NEALON & G-OVER, P.C Andrea Antolick, Claims Adjuster 2411 North Front Street Nationwide Insurance Harrisburg PA 17110 Cross Valley West Professional Bldg (717)232-9900 190 Welles St. Suite 110 Forty Fort, PA 18704 ROMINGER, BAYLEY & WHARE K~I E. Rominger, Esquire Attorney I.D. No. 81924 155 South Hanover Street Carlisle, Pennsylvania 17013 Phone: (717) 241-6070 Fax: (717) 241-6878 Today's Date; September 20, 2004 Name: Lariah-Ann Wilson Female *AS1 Date of Birth- September 11, 2003 Age: 1 Plan #1 ~,nnual Benefits: Guaranteed Amount: Cost: $12,917.25 per year. $51,669.00 $20,000.00 First payment is 09111/2021 (age 18). Last payment is 09/11/2024 (age 21). This is 4 guaranteed annual payments, and then payments stop. Guaranteed Lumo Sum Benefrt,~' Payable - 09111/2028 (age 25). $35,389.68 $10,000.00 Payable - 09/1112038 (age 35). $64,614.43 $10,000.00 Payable - 09111/2053 (age 50). _ $253,886.61 $15,000.00 LUMP SUM TOTALS: $353,890.72 $35,000.00 TOTAL STRUCTURE AMOUNT: $405,559.7:2 $55,000.00 The Internal Rate of Return is approximately 5.69% and the Tax Equivalent Yield is 8.12%, based on a 30% tax bracket. IThis proposal is effective through SEPTE .M. BER 27, 2004. This is the date that the funds for the structure must. be at the annu,ty company or this proposal will expire. .... This is an illustration, not a contract. JOINT PRORATA TORT-FEASOR RELEASE KNOW ALL BY THESE PRESENTS: That the undersigned (hereinafter "Releasor"), being of lawful age, for the sole consideration of One Hundred Thousand ($100,000.00), receipt of which is hereby acknowledged, have for myself and my heirs, executors, administrators and assigns remised, released and forever discharged, and covenant to hold harmless, Darlene Hall, Randy Hall, their heirs, administrators, executors, successors, agents, employees, subsidiaries, affiliates and assigns (hereinafter collectively referred to as "Releasees") from any and all claims, actions, and causes of action, including any claims or actions for wrongful death, or any survival actions or claims, demands, liens, workers compensation liens, costs, loss of services, loss of consortium, expenses, compensations and all consequential, punitive and exemplary damages, or damages of any kind sustained or that may be hereafter sustained on account of or in any way arising out of an accident that occurred at or near the intersection of S.R. 0011 (Ritner Highway) and S.R. 0233, on or about May 14, 2004. To procure the payment of the stated consideration, the Releasor hereby declares: that no representations about the nature and extent of the said injuries, disabilities or damages made by any physician, attorney or agent of Releasees, nor any represerttations regarding the nature and extent of legal liability or financial responsibility of any of the parties released, have induced the Releasor to make this Release & Indemnity Agreement; that this Release is entered into in consideration of all known and unknown injuries, disabilities and damages, and also the possibility that the injuries sustained may be permanent and progressive and recovery therefrom uncertain and indefinite, so that consequences not now anticipated may result from the said accident. Should it appear that two or more persons or entities are jointly or severally liable in tort for the alleged injuries to the undersigned claimant, the consideration for this Release shall be received in reduction of the total damages recoverable against all the other tort-feasors to the extent of the pre rata shares of the said Releasees, and Releasor specifically reserves all claims and causes of action arising out of the above- mentioned accident against all the other tort-feasors. In order to avoid inconvenience and expense to the released parties, in any action in which any of the Releasees are or may become a defendant or additional defendant or third-party defendant with other alleged tort-feasors, it is further agreed by Releasor that any verdict rendered against any other alleged tort-feasor shall be reduced by the pro rata share of the released party, and any judgment entered on the verdict shall be in the amount of the verdict reduced by the share of the released party, whether or not the released party was in fact a joint tort-feasor. This provision is intended to eliminate the need and expense of having the released party remain a party on the record and participate at Releasees' expense in a trial merely for the purpose of C determining whether or not any of the Releasees were joint tort-feasor, so as to entitle the other tort-feasors to a pro rata reduction of any verdict. This provision in no way constitutes an admission of liability by the parties released herein. The payment made to the undersigned is upon Releasor's warrant that no consideration has been received heretofore from any person, firm or corporation, nor has Releasor released heretofore any person, firm or corporation from any claim or liability for the said accident, and Releasor agrees to hold harmless and indemnify said Releasees and insurer of any of the Releasees from any loss, expense, or liability growing out of any claim against Releasees for contribution of any alleged tort-feasor under the Uniform Contribution Among Tort-feasors Act for injuries or damages sustained by the Releasor. The Releasor understands that the parties hereby released admit no liability of any sort by reason of said accident and that said accident and that said payment in compromise is made to terminate further controversy respecting all claims for damages that have been heretofore asserted or might hereafter be asserted of said accident. I have read this release and understand it. Signed: Individually and as Co-Administrator of the Estate of Nathan R. Hockenberry, Witn~s~ ~/~- ~?' -SANDRA L. HOCKENEBRRY, ~ - Individually and as Co-Administratdr..bf the Estate of Nathan R. Hockenberry, State of: County of:~ /~/.~/thi~s ~ day of ~)~1~' lgJOO,,C ,2 ~, before me pe~onally appeared ~ ~4i~U ~~ ~t~ff~ , to me known to be the pe~on(~ ~o executed the foregoihg instrumen~ and acknowledged this as a free act and deed. IN TESTIMONY WHEREQF, I have hereto subscribed my name and a~xed my seal this ~ .day of My commission expires No~iic ~-' -' ' Claim No.: INSERT CLAIM ~mm~~ ~ov ~4 04 04:43a Romin~er Ba~le~ & Whare 717~41687B p.2 IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA IN RE: ESTATE OF NATHAN HOCKENBERRY: : : No. SETTLEMENT STATEMENT AND NOW, comes Tasha Wilson, mother to Lariah Marie Wilson, daughter of Nathan Hockenbeny and requests that the Cumberland County Court of Common Pleas grant the Petition for Approval of Settlement. This request is made as the parent of the minor child, Lariah Marie Wilson, daughter of Nathan Hockenbeny. ' ~ ( Ta~fia~v'ilson ' ' ' ~J IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA IN RE: ESTATE OF NATHAN HOCKENBERRY: : : No. SETTLEMENT STATEMENT AND NOW, comes Kelly Ray and Sandra Hockenberry, Administratrix and Administrator of the Estate of Nathan Hockenberry and requests that the Cumberland County Court of Common Pleas grant the Petition for Approval of Settlement. This request is made as the Administratrix and Administrator of the Nathan Hockenberry Estate. POWER OF ATTORNEY AND CONTINGENCY FEE AGREEMENT I, Kelly Hockenbcrry, individually and Sandra Hockenberry, individually and as Administrator and Administratrix of the Estate of Nathan Hockenberry, the undersigned, hereinafter called "client(s)" hereby retain, appoint, and nominate ROMINGER, BAYLEY & WHARE LAW OFFICES, its members and associates, hereinafter called "attorney" to represent client(s) as legal counsel for all purposes and against all parties in connection with the death of Nathan Hockenber~y that occurred around or about May 14, 2004. Client(s) and attorney hereby agree as follows: 1. Initial Evaluation - Attorney will undertake an initial investigation and evaluate the merits of this case. No attorney fee will be charged for attorney work in connection with the evaluation. Client(s) shall provide in advance a retainer of 0 to be used for the purposes of paying the costs associated with the initial investigation. Attorney will review the pertinent records and will advise the client(s) concerning the probable merits of the case. If the initial evaluation of the merits of the claim is favorable, attorney v~ill advance the costs of prosecuting the case. These costs shall be repaid by client(s) as specified in paragraph 5 below. Attorney reserves the right to terminate the Agreement after the initial evaluation if the case is determined not to have merit, at which time any balance remaining in the trust account after payment of expenses shall be returned to client(s). 2. Attorney Fees - In payment for the services performed by the attorney for work as Plaintiff's Attorney for the Estate, client(s) hereby agree that attorneys fees shall be paid as follows: (a) A fee of twelve pement (12%) of the first Fifty-five Thousand ($55,000.00) Dollars uninsured/underinsured motorist coverage, anything in excess of that amount is to be billed under paragraphs b and c below; (b) Prior to the filing ora Complaint or a request for arbitration, payment for services shall be twenty-five (25%) percent contingency fee on the total amount paid settlement of the claim or claim(s); (c) Ifa Complaint is filed or arbitration is requested, payment for services shall be thirty- three (33%) percent contingency fee on the total amount paid by either settlement or verdict; and (d) In addition to the fees in capacity as Plaintiff's Attorney, the aforementioned, the undersigned agree to pay a ten percent (10%) estate administration fee on the services by attorney, including the handling of all estate matters and the filing of an estate tax return if required, for any approval of any estate or the filing of any accounting in the estate or any other work performed on the estate. However, the attorney agrees to waive this fee if the attorney is able to collect fully under paragraphs a through c above. In the event of or for any reason, the fee specified by a through c does not apply, or are reduced by Court or Court Order, the estate administration fee would become immediately due and payable. In the event of a settlement in the form ora structured settlement, it is agreed that attorney fees shall be paid according to the above terms based on the cost of the structured settlement to the settling party(s). It is further understood and agreed that the mount to be paid as the attorney fees on the structured settlement shall be paid on a lump sum basis at the time the structured settlement is entered into by the client(s). 3. Settlement - No settlement of this case may be made without the client(s) prior approval. 4.. Distribution of Proceeds - Client(s) further agrees that from the proceeds of any recovery, whether by settlement, judgment or otherwise, the attorney may deduct the attorneys fees to which it is entitled, together with ail costs and expenses which have been advanced or remain unpaid; and client(s) further agree that the attorney may deduct the amount of all unpaid bills for professional services and make disbursements of such funds directly to the creditors involved. 5. Cost Advance - Attorney shall have the authority to make advances and to incur such costs as the attorney determines necessary in the processing of the client(s) case. Such advances and costs include but are not limited to: (a) Fees for physicians, psychologists, accountants and other experts which attorney deems necessary to assist in handling of client(s) case; (b) Copying charges, travel expenses, court costs, deposition expenses, long distance telephone cails, postage. In the event of a monetary recovery, client(s) agree to reimburse attorney for the above- referenced expenses incurred. After the attorneys fees are deducted from the settlement and/or verdict, the expenses shall be repaid to attorney out of the remaining baiance of the settlement and/or verdict. If client(s) rejects a settlement offer that attorney believes is reasonable and equitable under the circumstances, client(s) agree to be responsible for any and all out-of-pocket expenses . incurred during the pursuit of their claim, irrespective of a monetary recovery. 6. Withdrawal - If, during the pursuit of this case, the attorney determines that under the existing circumstances, it is not feasible or practicable to prosecute this case, upon notification to the client(s) of such facts, the attorney may withdraw from representation under this agreement. Client(s) agree to execute all documents and take all steps requested by attorney that are necessary to facilitate the withdrawal of representation. 7. Appeal - If the client(s) authorizes an appeal of this case, or the attomey must defend an appeal taken by the other side, attorney fees shall be increased by 10% more than the fee set forth above to cover the additional work involved in handling of the appeal. Thus in paragraphs a through d in subsection 2, it is the intent that 10% be added to each of the figures outlined therein. 8. Fee Division - In the event that Client(s) were referred to Rominger and Bayley Law Offices by a referring attorney, Client(s) do not object to the division of the attorneys fees being charged the client(s) between the attorney and the referring attorney. Client(s) understand that they will not pay any additional fee as a result of the division of the fee between attorney and referring attorney. 9. Termination of Agreement by Client(s) - In the event that the client(s) seek legal representhtion elsewhere regarding the incident described herein and after the instant fee agreement is executed, client(s) agree to immediately reimburse attorney for all expenses incurred to date. Moreover, for the work performed by the attorney up to the date of separation of attorney and client(s), client(s) agrees that, in the event of an ultimate monetary recovery, attorney is entitled to reasonable compensation (quantum merit) from any verdict or settlement. 10. Arbitration. - Any dispute between the attorney and the client(s) shall be resolved by arbitration. The arbitrators shall be members of the Pennsylvania Bar Association. The attorney shall select one arbitrator. The client(s) shall select one arbitrator. The two arbitrators shall select a third arbitrator. The arbitrators shall, by majority vote, establish all rules pertaining to the arbitration, including determining how the cost of arbitration shall be paid. If the dispute is not resolved, the rules of the American Arbitration Association in effect at the time shall apply and control. 11. Termination - This agreement applies only to the attorney's pursuit of the claim specified above. This agreement terminates upon the final distribution of proceeds recovered on behalf of the client(s) through verdict, settlement or otherwise, if not terminated before such time. In the event client(s) desires additional services performed by attorney, whether related to the above-described incident or not, the fees and costs to be charged by the attorney in the event representation is undertaken, is subject to other agreement. I (We) have read the above agreement and understand and agree to its terms. There are no other agreements between the parties hereto. This agreement is entered into this /(. day of ,,~ ~, 2004. Kelly I~ockenberry Adminis~at~r 0fthe E~ta~e of~athan Hockenberry Kelly Hockenberry Ad~ni-~i~t;atrix of the Estate of Nathan-H-~Sh-b'erry Sandra Hockenberry APPROVED AND ACCEPTED BY: Date his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. P 103321~ 5 ~ ~-~e /~ CERTIFICATE OF DEATH (Coroner) Cumberland West Pennsboro US Rt. 11 0 PA Rt'. 233 ,.~,,~..o,~,~, ~.,~ D ~ ~ ~y 14,2004 Aprx. ~ ~ .o~ perator ejected during Marjorie A. Wevodau First Glenda Farrier Strasbaugh Deputy Register of Wills and Clerk of Orphans' Court Kirk S. Sohonage, Esq Solicitor Register of Wills and Clerk of the Orphans' Court County of Cumberland One Courthouse Square Carlisle, PA 17013 (717) 240-6345 FAX (717)240-7797 INVOICE Bill To: InvoiceNo: 156 Invoice Date: 01-10-2005 ROMINGER, BAYLEY, WHARE Estate of: NATHAN HOCKENBERRY 155 S HANOVER ST Estate No: 21-04-508 JA CARLISLE, PA 17013 Qt~r Fee Description Fee Total 1 CERTIFIED COPIES 25.00 $25.00 Total: $25.00 Checks should be made payable to the Register of W'dls. Terms: Net 30. Please return one copy of this invoice with your payment. Thank you. 2005 10 2:08 ~ THE COURT OF COMMON PLEAS CUMBERLAND CO~TY~ PE~SYLVANI~h~K 0F O PH 'S COU T IN RE: ESTATE OF NATHAN HOCKENBERRY: CUMBEf~(J?O C().. PA : : No. 2004-00508 FINAL ORDER AND NOW, to wit this the /~}qay ~ ,2005, it is hereby ordered that the settlement in the amount of One ll~undred ~fty Five Thousand ($155,000.00) Dollars is granted. The proceeds are to be distributed as follows: (a) A structured settlement valued at $55,000 for the minor child will be paid as outlined in the petition, and as presented into evidence at hearing, as more fully described by Exhibit, and to be funded by the proceeds of the settlement herein approved. (b) An amount of $31,600.00 will be paid to Rominger, Bayley & Whare for their hours of work involved in the case, and as agreed to by the parties. It is been acknowledged that Rominger, Bayley & Whare has forgiven costs forwarded, including monies for investigators and storage of the car driven by decedent. (c) The Court authorizes the amount of $4,935.00 to pay the funeral bills of the deceased. (d) The remaining monies of $63,465.00 will be placed in a federally insured bank or saving institution for the benefit of Lariah-Ann Marie Wilson as permitted by the Rules of Civil Procedure. The account shall contain a restriction on its face to the effect that "No sums may be withdrawn prior to September 11,2021 without an Order of Court. Provided, however, that the account may be rolled over into another federally insured account for the benefit of Lariah-Ann Marie Wilson without an Order of Court, so long as it contains this identical restriction." Proof of the opening of this account shall be filed with the Court within ten (10) days of the receipt of the settlement proceeds. (e) All sums set forth above constitute damages on account of personal injury/wrongful death, arising from the occurrence, within the meaning of § 104 (a) (2) of the Internal Revenue Code of 1986, as amended. It is further recognized that the allocation of the award to 100% for wrongful death and 0% for a Survival Action has been approved by the Pennsylvania Department of Revenue, by letter dated December 27, 2004, and entered as an exhibit at hearing. (f)'-t'V%-fuWl'lL~ordered ,~,,--a~ :-~,: .... ;~-~ which said ...... are ...L ..,. ............ tw in 6,.ao deposited are -~hgic~y granted permission to use the ~ncome from said funda" * ' Io-iaay ':nccm~ ........ ~ ~'-:-h n~ay '~mc due and payable as a ~¢~," ....... -~ ~:'~ ~cing managed by the institut~om In addition the Ti u~t u.p ......... of .............. kal o,~,l, uc pmu tuc~c uonflal and custmnary f=~ s ....... as ~BS. (g) Further, nothing in this approval is meant to be construed as a limitation on any other cause of action available, an~or as to any paay, except as to those actions and pa~ies released by the agreements attached to the petition. (h) Fu~her, the Cou~ authorizes the administrator and administratrix of the estate to bind the estate by signing the releases attached to the petition, and to extinguish any and all survival claims and wronghl death claims as appropriate. By the Court, J. ' Marjorie A. Wevodau First Glenda Farner Strasbaugh Deputy Register of Wills and Kirk S. Sohonage, Esq Clerk of Orphans' Court Solicitor Register of Wills and Clerk of the Orphans' Court County of Cumberland One Courthouse Square Carlisle, PA 17013 (717) 240-6345 FAX (717)240-7797 I INVOICE I Bill To: InvoiceNo: 156 Invoice Date: 01-10-2005 ROMINGER, BAYLEY, WHARE Estate of: NATHAN HOCKENBERRY 155 S HANOVER ST Estate No: 21-04-508 dA CARLISLE, PA 17013 Q~r Fee Description Fee Total ! CERTIFIED COPIES 25.00 $25.00 Total: $25.00 Checks should be made payable to the Register of W'flls. Terms: Net 30. Please remm one copy of this invoice with your payment. Thank you. his i.x to certify that the information here given is correctly copied from an original certificate of death duly filed with me as 1.ocal Registrar. The original certificate will be ~'orwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. ~ H105.144 Rev. 1/91 COMMONWEALTH OF PENNSYLVANIA" DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH TYpE/PRINT (Coroner) PERMANENT ) -- 2 6 1 S'IATE F~LE NUMBER BLACK INK {Fir~, Middle, LaSt) SEX SOCIAL SECURITY NUMBER DATE O~ DEATH (Month, Day, Year) Nathan R Hockenberry =. Male 3. 162-66-5595 4. May 14, 2004 AGE (Leal Blrlhday) UNDER 1 YEARk. UNDER 1 DAYL~ DATE OF BIRTH BIRTHPLACE (Cfly snd PLACE OF DEATH (Chcck only ~ -- see NOr'~in~lruct~r~sYes [--] If ye°n other Months Da~s HoursMinutes [~, (Month. Day, Year) Staleo~.Fc~e~gnCounlry) HOSPITAL: OTHER: eb. 22,1985 Carlisle 19 v~. ?.Qx~l:~'~ Ctv. PA ~"nt. [] EFVOu~at~nt [] DOA [] HNg~ng [] ..... [] ~pecily)~ Cumberland West Pennsboro i~.~i~,. P~,o R~ ...... I". 1,3. 11 ¥r8. I 1,4. Never married ACTUAL ~?a.S,a,e Pennsylvania D~ l?e.~Yes, de~ntl~edi. South Newton Township 15 Rehobeth Rd. RESIDENCE PA 17257 ~?b. C~,~ Cumberland ~s,ip? R. Hockenberry ~,. Sandra L. McMullen R. Hockenberry 12~. 15 Rehobeth Rd., Shippensburq, PA 17257 s~rml~ c,ematio,[[] Rem~a~,mmm~e~] (Mo~h. Day.~ar) o,~,"~ Shippensburg ~,~[] ~r~,y~ [[][~,b. May 20, 2004 12~c. Spring Hill Cemetery 12,,. Cumberland County, PA I~b. 011776-L =~Fcxqels~qer-Bricker F.H. Inc., P.O. Box 336, S~zbq PA 17257 I ~--; ~,~.a.u~e~: c~e,,~ ~ k, .~,~,mee. ~e;~ gte [ ,'rome. .... y know,orig., d .......ed .......................... 23c DATE S,GNED ~ r~ ~2~ p rr~ ~)1 ~ber ~S~ ~t he~. by TIME DE DEATH DATE PRONOUNCED DEAD ( ..... [Day, Year) Closed Head In-~ury Motor Vehicle Crash RI( (Month.~y,~r) A~X 2 vehicle crash ~ unbelted "( ,.,u,., ~ ~"~"' ~ Ma~.. 14,2004 v~ · , ~ ~ No~ i°perat°r ejected during CEmlFIER Ch~k ~*y o~ S~NATURE AND T~E~F~ ~ · ~I~IN~ ~5~IAN (Ph~n ~t~ying ~u~ of fl~th when an~h~ Vhy~c~n has pronou~ d~lh and c~et~ I1~ 23) ~ ~~ (Item 27) Ty~ ~ Print 6375 Baseho~e Road, Suite ¢/1 O On theb~l~examln~tl~.nd/~lnve~lgaDon, in my oplnl~.dealh oecu~dattheDme,~te, and pleee, and due lethe c~u~s)a~ ~ ~echan~csburg, Pa. 170.50 IN THE CUMBERLAND COUNTY COURT OF COMMON PLEAS IN RE: ESTATE OF NATHAN HOCKENBERRY No. 2004-00508 AND NOW, this Ig J41ay of January, 2005, pursuant to the January 10,2005, Order of Court a return is filed as follows: A RECEIPTS (A) Progressive Insurance Company $100,000.00 TOTAL $100,000,00 B. DISBURSEMENT (A) Attorney's fees, Rominger, Bayley & Whare $31,60000 (B) Funeral costs, Gordon's Memorials $4,93500 (C) Commerce Bank $63.465.00 TOTAL $100,000.00 C. MONIES THAT REMAIN $ 0.00 Date 1-- ( t' - 0) Respectfully submitted, ROMINGER, BAYLEY & WHARE -;2 Karl E. Rominger, Esquire 155 South Hanover Street Carlisle, PA 17013 (717) 241-6070 Supreme Court ID # 81924 Attorney for Petitioner c""', L ( Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 3/29/2006 ROMINGER KARL E 155 SOUTH HANOVER ST CARLISLE, PA 17013 RE: Estate of HOCKENBERRY NATHAN RAY File Number: 2004-00508 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 5/14/2006 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 3/29/2006 HOCKENBERRY KELLY RAY 15 REHOBETH ROAD SHIPPENSBURG, PA 17257 RE: Estate of HOCKENBERRY NATHAN RAY File Number: 2004-00508 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 5/14/2006 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 3/29/2006 HOCKENBERRY SANDRA LOUISE 15 REHOBETH ROAD SHIPPENSBURG, PA 17257 RE: Estate of HOCKENBERRY NATHAN RAY File Number: 2004-00508 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 11 for decedents dying on or after July I, 19921 the personal representative or his counsell within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 5/14/2006 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. SincerelYI ~~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel ~O. '""'" ~ , ~ Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 NameofDecedent:~Q ~ t-\-ccKcntrrY\.1 Date of Death: ZOO J Estate No.: DODDS Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether a~tration of the estate is complete: Yes 0 No~ 2. If the answer is No, state when the perso~ePJesentative re~sonab1y believes that the administration will be complete: ~ <oJ ( '7 2 c'-- /.7 / 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes 0 No 0 b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes 0 No 0 c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. '/ Date: L\'\1'2~ Signature ~vl t RaYlirgttl2:q. Name l55 2fUth \iaffiJer St. I Address COYt ISle t 1 \\l-2Lf 1- Lc>Ol 0 ~ Telephone No. . t ! . . Capacity: g Personal Representative ~ Counsel for personal representative ~ r~J1) - - One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 4/24/2007 .- -':~:l <;:::.'''' --' f'''".) -'17 . ".) HOCKENBERRY SANDRA LOUISE (11 CD 15 REHOBETH ROAD SHIPPENSBURG, PA 17257 RE: Estate of HOCKENBERRY NATHAN RAY File Number: 2004-00508 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 5/14/2007 please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. s;::~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel o One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 15 REHOBETH ROAD SHIPPENSBURG, PA 17257 ~..., Date: 4/24/2007 HOCKENBERRY KELLY RAY I' , '.....; .!:....- -,.... f~:? (17 c':) RE: Estate of HOCKENBERRY NATHAN RAY File Number: 2004-00508 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 5/14/2007 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~~~ .J Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel C'^) One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 ROMINGER KARL ERNST ESQUIRE 155 S HANOVER ST ~ ~ -.-, Date: 4/24/2007 ;-";,) r~;-,,,) CARLISLE, PA 17013 Ul c:' RE: Estate of HOCKENBERRY NATHAN RAY File Number: 2004-00508 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 5/14/2007 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. SiZ;'~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) ~ Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF C~\J....YV\. 'ooc1ClV\L COUNTY,PENNSYL v ANIA Name ofDecedent:-N~~ 'fuLC. d-h('\<.m'oe..<<\~ . Date ofDeath:j\1 C!. ~ ILl ,'dCCI-f. File Number: :JrrH - ()D soft, . Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: . . . . . . . . . . . . . . . . . . .. DYes ~ 2. If the answer is No, state when the personal representative reasonably believes 'that the administration will be complete: ,4 1;9 l 0 c;/ ' / 3. lfthe answer to No.1 is YES, state the following: . a. Did the personal representative file a final account with the Court?' . . . . . .. DYes DNo b. The separate Orphans' Court No. Cifany) for the personal representative's account is: c. Did the personal representative state an account informally to the partiesin interest? ,............................... DYes DNo d. Copies of receipts, releases, joinders and approvals offormal or informal accounts may be filed with the Clerk 'of the Orphans' Court and may be attached to this report. Date hlf'4 1/ ZOO} / / signalWe2g: Form --..: Capacity: DPersonal Representative ~nsel / ,v~r Add~ ~ artt. . fJ/1 /7013 n I /7) ;)LIt -!.ROtU. Telephone Fo"" RW.IO rev, 10.13.06 .~ IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYL VANIA IN RE: EST ATE OF NATHAN HOCKENBERRY: : No.: 2004-00508 PETITION FOR APPROVAL OF SETTLEMENT 1. Your Petitioners, Kelly Ray and Sandra Louise Hockenberry, are the personal representatives for the Estate of Nathan Hockenberry, who is the deceased father of the minor, Lariah-Ann Marie Wilson. 2. The minor child, Lariah-Ann Wilson, was born on September 11, 2003. Her Social Security Number is 162-82-2217. 3. On May 14, 2004, Nathan Hockenberry was killed in a motor vehicle accident. At the time of his death he was single and had one minor child, Lariah-Ann Marie Wilson. g 4. ~ r ~ -~, 'J F Kelly Ray and Sandra Louise Hockenberry were ap~ij).tw t~ M.__._ \"J~.' ~~;.;: 0-) administrator and administratrix of the estate of Nathan Hoc!~~~ ~: _/-- -....- : ..'7 - May 28, 2004, by Glenda Farner Strasbaugh, the Registe~;gjfIWills 6i f\;);;l co Cumberland County. 5. A previous settlement was approved by this honorable Court with the automobile insurance companies, and those monies are now being held for the minor child, pursuant to the Order of January 10,2005. r-'n) 6. A Federal action docket at 1 :06-CV -1242 Middle District of Pennsylvania was brought against the vehicle manufacturers (GM et al.), and a modest settlement between the parties has been reached in the amount of $9,000.00. Continuation of the suit does not appear, in counsel's estimation to be in the best interest of the estate There is a separate action docketed at civil docket 2006-2717 against Penn DOT, and this settlement of the Federal Suit and request for approval herein is specifically entered into without releasing Penn DOT or other responsible actors in that suit. Additional monies may yet be recovered in that suit. All sums set forth above constitute damages on account of personal injury/wrongful death, arising from the occurrence, within the meaning of S 104 (a) (2) of the Internal Revenue Code of 1986, as amended. The 9,000.00 dollars to be divided pursuant to the fee agreement as follows: 7. 8. 9. A. 33% to Rominger & Associates as an attorney fee, m the amount of $2,999.00 B. 66% to the estate, in the amount of $6,001.00 less expenses of $1,338.80 total for Court Reporting Fees for depositions (attached), and $2,572.68 for the storage of the automobile at Carlisle Rent-A- Space, Carlisle, Pennsylvania to prevent spoliation claims in the product liability suit, all of which have been advanced by counsel. C. The net monies of$2089.52 will be placed in a federally insured bank or saving institution as permitted by the Rules of Civil Procedure for benefit of the minor child. 10. The Estate will be executing the attached Tort Feasor Releases which will preserve the right of the estate or other interested parties to pursue additional legal remedies and to bring suit or other cause of action deemed appropriate against any other responsible parties. It is the specific intent of Petitioner in seeking Court approval as required by the Rules of Civil Procedure, since a minor is involved, that Court approval not in any way limit the rights of Petitioner to seek any other relief from any other party Much of the work product from this lawsuit is being used in the remaining suit against Penn Dot. Any and all remaining monies will be placed in a federally insured bank or saving institution as permitted by the Rules of Civil Procedure, and it is requested that the Court specifically authorize said federally insured bank or savings institution to invest the same in any federally insured vehicle and to pay income tax on behalf of the minor in said account or accounts. The Department of Revenue has agreed to an allocation of 100% of the award to the wrongful death action. (See attached letter) 11. 12. 13. WHEREFORE, your petitioner prays that the settlement afore referenced be approved. Respectfully submitted, ROMINGER & ASSOCIATES Date: July 26, 2007 .~) ---- Karl E. Rominger, Esquire 155 South Hanover Street Carlisle, P A 17013 (717) 241-6070 Supreme Court 10 # 81924 Attorney for Petitioners IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYL VANIA IN RE: ESTATE OF NATHAN HOCKENBERRY: : No.: 2004-00508 AFFIDAVIT I hereby swear or affirm that the Foregoing is true and correct to the best of my knowledge and/or information and belief. This is made subject to the penalties of 18 Pa.C.S ~4904 relating to unsworn falsification to authorities. Respectfully submitted, ROMINGER & ASSOCIATES Date: July 26, 2007 /- ---- Karl E. Rominger, Esquire 155 South Hanover Street Carlisle, PAl 70 13 (717) 241-6070 Supreme Court ID # 81924 Attorney for Petitioners WEB ADDRESS www.state.pa.us BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION Po Box 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE July 20, 2007 Karl E. Rominger, Esq. 155 S. Hanover St. Carlisle, PA 17013 Re: Estate of Nathan Hockenberry File Number: 2104-0508 Court Number: CCP Cumberland Co. No. 2004-00508 Dear Mr. Rominger: The Department of Revenue has received the Petition for Approval of Settlement Claim to be filed on behalf of the above-referenced Estate in regard to a wrongful death and survival action. It has been forwarded to this Bureau for the Commonwealth's approval of the allocation of the proceeds paid to settle the actions. Pursuant to the Petition, the decedent died as a result of a motor vehicle accident. Decedent is survived by one minor child. Please be advised that, based upon these facts and for inheritance tax purposes only, this Department has no objection to the proposed allocation of the gross proceeds of this action, $9,000 to the wrongful death claim and $0 to the survival claim. Proceeds of a survival action are an asset included in the decedent's estate and are subject to the imposition of Pennsylvania inheritance tax. 42 Pa. C.S.A. 98302; 72 P.S. 999106, 9107. Costs and fees must be deducted in the same percentages as the proceeds are allocated. In re Estate of Merryman, 669 A.2d 1059 (Pa. Cmwlth. 1995). I trust that this letter is a sufficient representation of the Department's position on this matter. As the Department has no objections to the Petition, an attorney from the Department of Revenue will not be attending any hearing regarding it. Please contact me if you or the Court has any questions or requires anything additional from this Bureau. Finally, the approval of this allocation is limited to this estate and does not reflect the position that the Department may take in any other proposed distribution of proceeds of a wrongful death/survival action. Sincer~ly, 1Jj /vt~~~c~ Holly A. McClintock Trust Valuation Specialist Inheritance Tax Division Bureau of Individual Taxes PHONE: 717-787-1794 . FAX: 717-783-3467 . EMAIL: hmcclintoc@state.Da.us IMPORT ANT INFORMATION FOR FIRMS REQUESTING A WRONGFUL DEATH I SURVIV AL ACTION APPRO V AL LETTER FROM THE PENNSYLVANIA DEPARTMENT OF REVENUE The following information should be supplied with each request so that the request can be reviewed in a timely manner. 1. A copy of the petition prepared for the court 7. It is not necessary to provide: 1. Police report of the accident scene 2. Autopsy report of the coroner. 2. Documentation concerning the decedent: 1. Name of Estate 2. File Number of Estate 3. Social Security Number 4. Age of decedent at death 5. Educational history 8. Please expect a reasonable amount of time for processing. The average processing time is approximately 30 days from the date we receive all of the needed documentation but could take longer. The cases will be reviewed in a first in I first out order regardless of the size of the claim. Remember the two months with the largest volume of requests for approvals are August and December as they are the last months for approval of medical cases paid under the MCARE Fund for a given calendar year. 3. Nature of opening of estate 1. If testamentary letters were granted, a copy of the decedent's will. 2. If administrative letters were issued, a listing of the intestate heirs. 4. Documentation concerning any "pain and suffering" incurred by the decedent prior to his death. 1. If death was caused by an error of a medical instiMion in diagnosing an illness, the length of time that individual had the illness prior to death. 2. If death was caused by an error in caring directly for the decedent by a medical institution/nursing care facility, the length of time from the incident until death. 9. If using mail or fax send all proposals for a wrongful death/survival action claim response letter to: 5. Documentation concerning the "future wage loss" of the decedent due to the decedent's death. This material should include if possible: 1. An economic loss report prepared by an expert in that field. 2. Annual wage statement for the past three years 3. Any other income being received by the decedent for the past three years. Wrongful Death I Survival Action Request P A Dept. of Revenue Inheritance Tax Division PO Box 280601 Harrisburg, P A 17128-0601 Fax: (717) 783-3467 Do not fax the proposal if the number of pages being faxed exceeds 10 pages. Do not fax and then mail the same proposal as that causes duplication in processing. If you must fax and mail the petition please indicate this on the cover letter. 6. Documentation concerning the future economic loss incuned by the wrongful death claimant. This should include: I. Monthly expenses paid by the decedent 2. Monthly work done by the decedent to supplement the claimants income 3. Rental expenses, food costs, utilities paid by the decedent for the claimant. 4. Educational costs being paid by the decedent. 5. Any other information to support the future economic loss incurred by the claimant. Do not call to see if we received the request as this causes unnecessary searching for the request. If you have not received any response within 30 days of the date you mailed or faxed the proposal, please call the Department at (717) 787-8327. ~= ~ cESJ ~~c1 ESQUIRE D E P 0 5 I T ION 5 E R V ICE 5@ 205532 6{1:J;ECO 1 Esquire Deposition Services, LLC A Hobart West Company Tax ID # 22-3779684 1600 John F Kennedy Blvd. Ste. 1210 Philadelphia, PA 19103 (215) 988-9191 FAX(215) 988-9089 INVOICE NUMBER cW A HOBART WEST COMPANY To: DATE LAH OFFICE OF CARL ROMINGER :55 SOUTH H&~OVER STREET CARLISLE, P. 17013 222700EPA 05/04/07 I AT TN : CARL ROMINGER, ESQ. Due Upon Receipt AMOUNT DUE ENCL. YOUR REFERENCE NUMBER: CAPTION: HOCKENBERRY VS. GENERAL MOTORS SERVICES PROVIDED ON 04/06/07: KELLY RAY HOCKENBERRY SANDRA LOUISE HOCKENBERRY REGULAR DELIVERY ONE COPY OF TRANSCRIPT EXHIBITS SHIPPING & HANDLING I 358.40 8.50 20.00 BALANCE DUE TOTAL 386.90 Thank You! A~y ~~ou~ts ~O~ ?dld wl:h~n 30 days of the invoice will be considered past d~e 3~d a lace charge wIll accrue on any ~npaid balance at che lesser of o~e a~d one-half percent 1 5%) per month or the maximum rate allowed by law Contact us ImmedIately WIth queStIOns or corrections regarding billIng or payment Nc ad; LCst::nent3 or r-e:linds ,,,ill be made after 120 days from date of payment Please detach and send with payment For Invoice Questions, Please Call (866)377-5962 Fax (973)377-9543 Remit To: ESQUIRE DEPOSITION SERVICES, LLC P.O. BOX 785751 Philadelphia,PA 19178-5751 Tax ID # 22-3779684 JOB: 205532 TOT: $386.90 INVOICE #: 222700EPA DATE: 05/04/07 LAW OFFICE OF CARL ROMINGER Attn: CARL ROMINGER, ESQ. 155 SOUTH HANOVER STREET CARLISLE, P. 17013 ilIIIIIIl == ESQUIRE D E PO 5 I T ION 5 E R V ICE s~ A HOBART WEST COMPANY LrNKING TESTIMONY. TRADITION AND TECHNOLOGY == ESQUIRE D E P 0 SIT ION 5 E R V ICE S. A HOBART weST COMPANY Esquire Deposition Services, LLC A Hobart West Company Tax ID # 22-3779684 205522 1600 John F Kennedy Blvd. Ste. 1210 Philadelphia, PA 19103 (215}988-9191 FAX(215}988-9089 INVOICE NUMBER INDEC01 To: DATE LAW OFFICE OF CARL ROMINGER 155 SOUTH HANOVER STREET CARLISLE, P. 17013 222724EPA 105/04/07 ATTN : CARL ROMINGER, ESQ. Due Upon Receipt AMOUNT DUE ENCL. YOUR REFERENCE NUMBER: CAPTION: HOCKENBERRY VS. GENERAL MOTORS SERVICES PROVIDED ON 03/30/07: DONALD CHEWNING ANDREW THIERWECHTER REGULAR DELIVERY ONE COPY OF TRANSCRIPT EXHIBITS SHIPPING & HANDLING I 512.40 71.00 15.00 BALANCE DUE TOTAL 5 9 8 . 4 0 Thank Youl ~'Y amounts not paid w1th1n 30 days of the lnvoice will be considered past due and a late charge ..ill accrue on any unpaid balance at the lesser of olle and one-~alf percent (1 5%) per month or the maximum rate allowed by law. Contact us itnmediately with questions or corrections regarding billing or payment. No adJustments or refunds will be made after 120 days from date of payment. PI.aa. datach and .and with paymant For Invoice Questions, Please Call (866)377-5962 Fax (973)377-9543 --------------~----~----------------- Rl!mItTo: ESQUIRE DEPOSITION SERVICES, LLC P.O. BOX 785751 Philadelphia,PA 19178-5751 Tax ID # 22-3779684 JOB: 205522 TOT: $598.40 INVOICE #: 222724EPA DATE: 05/04/07 LAW OFFICE OF CARL ROMINGER Attn: CARL ROMINGER, ESQ. 155 SOUTH HANOVER STREET CARLISLE, P. 17013 == ESQUIRE o E P 0 SIT [ 0 N S E R V ICE S. ^ HOBART WES-r COMPANY l.INKING TESTIMONY, TRADITION AND TECHNOLOGY == -- ESQUIRE o E P 0 5 I T r 0 N 5 E R V ICE 5" Esquire Deposition Services, LLC Corporate Services Division Tax ID # 22-3779684 5410 NW 33rd Avenue, Suite 100 Ft. Lauderdale I Florida 33309 (888)486-4044 / (888)486-6007 A HOBART WEST COMPANy To: LAW OFFICES OF KARL ROMINGER 155 S. HANOVER STREET CARISLE, PA 17013 ATTN : KARL ROMINGER, ESQ. ~t~~~ 647397 INDECOl INVOICE NUMBER DATE 231206CSD H/23/07 Due Upon Receipt ENCL. YOUR REFERENCE NUMBER: CAPTION: HOCKENBERRY VS. GENERAL MOTORS SERVICES PROVIDED ON 03/02/07: MICHAEL CUTSAIL SUZANNE YINGLING EXHIBITS & TABS SHIPPING MBX BILL LAW FIRM CARLISLE I PA **PLEASE NOTE INV # ON REMIT** INVOICED BY PHILLY THANK YOU i BALANCE DUE Any amounts not pa1d w1th1n 30 days of the 1nVOlce wl11 be cons1dered past due and a late charge will accrue on any unpaid balance at the lesser of one and one-half percent (1.5\') per month or the maximu~1 rate allowed by law. Contact us immediately with questions or corrections regarding billing or payment. No adjuatments or refunds will be made after 120 days from date of payment. Pltal. detach and send with payment Ramit To: Esquire Deposition Services, LLC P.O. BOX 785751 PHlLADELPHIA,PA 19178-5751 Tax ID # 22-3779684 AMOUNT DUE 145.60 166.4 0 Ice lCC 26.50 15.00 TOTAL 353 .50 Thank Your For Invoice Questions, Please Call (888)486-4044 Fax (888)486-6007 JOB: 647397 TOT: $353.50 INVOICE #: 231206CSD DATE: 04/23/07 LAW OFFICES OF KARL ROMINGER Attn: KARL ROMINGER, ESQ. 155 S. HANOVER STREET CARISLE1 PA 17013 == ESQUIRE o E P 0 5 I T ION 5 E R V ICE S. LINKING TSSTIMONY. 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DJ - !I' N (:) (:) ..... -. - CIl "2- ;::;: I~ o ,C ~ - I~ ,~ Ig POWER OF A TTOR1~EY AND CONTINGENCY FEE AGREEMENT I, Kelly Hockenberry, individually and Sandra Hockenberry, individually and as Administrator and Administratrix of the Estate of Nathan Hockenberry, the undersigned, hereinafter called "client(s)" hereby retain, appoint, and nominate ROMINGER, BAYLEY & WHARE LAW OFFICES, its members and associates, hereinafter called "attorney" to represent client(s) as legal counsel for all purposes and against all parties in connection with the death of Nathan Hockenberry that occurred around or about May 14,2004. Client(s) and attorney hereby agree as follows: 1. Initial Evaluation - Attorney will undertake an initial investigation and evaluate the merits of this case. No attorney fee will be charged for attorney work in connection with the evaluation. Client(s) shall provide in advance a retainer of 0 to be used for the purposes of paying the costs associated with the initial investigation. Attorney will review the pertinent records and will advise the client( s) concerning the probable merits of the case. If the initial evaluation of the merits of the claim is favorable, attorney will advance the costs of prosecuting the case. These costs shall be repaid by client( s) as specified in paragraph 5 below. Attorney reserves the right to terminate the Agreement after the initial evaluation if the case is determined not to have merit, at which time any balance remaining in the trust account after payment of expenses shall be returned to client(s). 2. Attorney Fees - In payment for the services performed by the attorney for work as Plaintiffs Attorney for the Estate, client(s) hereby agree that attorneys fees shall be paid as follows: (a) A fee of twelve percent (12%) of the first Fifty-five Thousand ($55,000.00) Dollars uninsured/underinsured motorist coverage, anything in excess of that amount is to be billed under paragraphs b and c below; (b) Prior to the filing of a Complaint or a request for arbitration, payment for services shall be twenty-five (25%) percent contingency fee on the total amount paid settlement of the claim or claim(s); (c) If a Complaint is filed or arbitration is requested, payment for services shall be thirty- three (33%) percent contingency fee on the total amount paid by either settlement or verdict; and (d) In addition to the fees in capacity as Plaintiffs Attorney, the aforementioned, the undersigned agree to pay a ten percent (10%) estate administration fee on the services by attorney, including the handling of all estate matters and the filing of an estate tax return if required, for any approval of any estate or the filing of any accounting in the estate or any other work performed on the estate. However, the attorney agrees to waive this fee if the attorney is able to collect fully under paragraphs a through c above. In the event of or for any reason, the fee specified by a through c does not apply, or are reduced by Court or Court Order, the estate administration fee would become immediately due and payable. In the event of a settlement in the form of a structured settlement, it is agreed that attorney fees shall be paid according to the above terms based on the cost of the structured settlement to the settling party(s). It is further understood and agreed that the amount to be paid as the attorney fees on the structured settlement shall be paid on a lump sum basis at the time the structured settlement is entered into by the client(s). 3. Settlement - No settlement of this case may be made without the client(s) prior approval. 4. Distribution of Proceeds - Client(s) further agrees that from the proceeds of any recovery, whether by settlement, judgment or otherwise, the attorney may deduct the attorneys fees to which it is entitled, together with all costs and expenses which have been advanced or remain unpaid; and client(s) further agree that the attorney may deduct the amount of all unpaid bills for professional services and make disbursements of such funds directly to the creditors involved. 5. Cost Advance - Attorney shall have the authority to make advances and to incur such costs as the attorney determines necessary in the processing of the client(s) case. Such advances and costs include but are not limited to: (a) Fees for physicians, psychologists, accountants and other experts which attorney deems necessary to assist in handling of client( s) case; (b) Copying charges, travel expenses, court costs, deposition expenses, long distance telephone calls, postage. In the event of a monetary recovery, client(s) agree to reimburse attorney for the above- referenced expenses incurred. After the attorneys fees are deducted from the settlement and/or verdict, the expenses shall be repaid to attorney out of the remaining balance of the settlement and/or verdict. If client(s) rejects a settlement offer that attorney believes is reasonable and equitable under the circumstances, client(s) agree to be responsible for any and all out-of-pocket expenses incurred during the pursuit of their claim, irrespective of a monetary recovery. 6. Withdrawal - If, during the pursuit of this case, the attorney determines that under the existing circumstances, it is not feasible or practicable to prosecute this case, upon notification to the client(s) of such facts, the attorney may withdraw from representation under this agreement. Client(s) agree to execute all documents and take all steps requested by attorney that are necessary to facilitate the withdrawal of representation. 7. Aopeal- If the client(s) authorizes an appeal of this case, or the attorney must defend an appeal taken by the other side, attorney fees shall be increased by 10% more than the fee set forth above to cover the additional work involved in handling of the appeal. Thus in paragraphs a through d in subsection 2, it is the intent that 10% be added to each of the figures outlined therein. 8. Fee Division - In the event that Client(s) were referred to Rominger and Bayley Law Offices by a referring attorney, Client(s) do not object to the division of the attorneys fees being charged the client(s) between the attorney and the referring attorney. Client(s) understand that they will not pay any additional fee as a result of the division of the fee between attorney and referring attorney. 9. Termination of Agreement by Client(s) - In the event that the client(s) seek legal representation elsewhere regarding the incident described herein and after the instant fee agreement is executed, client(s) agree to immediately reimburse attorney for all expenses incurred to date. Moreover, for the work performed by the attorney up to the date of separation of attorney and client(s) , client(s) agrees that, in the event of an ultimate monetary recovery, attorney is entitled to reasonable compensation (quantum merit) from any verdict or settlement. 10. Arbitration - Any dispute between the attorney and the client(s) shall be resolved by arbitration. The arbitrators shall be members of the Pennsylvania Bar Association. The attorney shall select one arbitrator. The client(s) shall select one arbitrator. The two arbitrators shall select a third arbitrator. The arbitrators shall, by majority vote, establish all rules pertaining to the arbitration, including determining how the cost of arbitration shall be paid. If the dispute is not resolved, the rules of the American Arbitration Association in effect at the time shall apply and control. 11. Termination - This agreement applies only to the attorney's pursuit of the claim specified above. This agreement terminates upon the final distribution of proceeds recovered on behalf of the client( s) through verdict, settlement or otherwise, if not terminated before such time. In the event client(s) desires additional services performed by attorney, whether related to the above-described incident or not, the fees and costs to be charged by the attorney in the event representation is undertaken, is subject to other agreement. I (We) have read the above agreement and understand and agree to its terms. There are no other agreements between the parties hereto. This agreement is entered into this ~ day of <5",,-,,,,, e-, 2004. It}}.. ((.tldcL~. Kell;pfockenberry ,. t,1J Sandra Hockenberry t5-1!kIt. !J-67'}~k~ Admini rator of the Estate OP athan Hockenberry Kelly Hockenberry c/4.' t Administratrix of the Estate of Nathan H Sandra Hockenberry APPROVED AND ACCEPTED BY: ~..-=/LJ)f Lit I , .) ~ !i. -nu Date I t. .)coL I IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA IN RE: ESTATE OF NATHAN HOCKENBERRY: : No.: 2004-00508 CERTIFICATE OF SERVICE The same has been provided sent, addressed to responding counsel, by first class mail, as follows. Monica Proffit Osborne, Esquire LAVIN, O'NEIL, RICCI, CEDRONE & DISIPIO 190 North Independence Mall West, Suite 500 6th & Race Streets Philadelphia, Pennsylvania 19106 Respectfully submitted, ROMINGER & ASSOCIATES Date: July 26, 2007 // ---/ ---. Karl E. Rominger, Esquire 155 South Hanover Street Carlisle, PAl 7013 (717) 241-6070 Supreme Court ID # 81924 Attorney for Petitioners ~ . . .., 'JUL J 8Z007;tj IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA IN RE: ESTATE OF NATHAN HOCKENBERRY: : No.: 2004-00508 aUM/IIS ~3 FINAL ORDER AND NOW, to wit this the~daY ordered that the settlement in the amount of Ni Tho granted. The proceeds are to be distributed as ollows: , 2007, it is hereby and ($9,000.00) Dollars is (a) The net monies of $2089.52 will be placed in a federally insured bank or saving institution as pet;mitted by the Rules of Civil Procedure for ~~ .,..,.. -. .Jllp eA chil~ L~ -~ W~. ..,c.. ...-c.v~ ,. ,or, J;I-- ~ -f1.t~ +I.;t It~, IJ~J. 1tU, Ita .....~ (b) An amount of $2999.00 of the proceeds will be paid to Rominger and ~ Associates for their hours of work involved in the case, and as agreed to by ~~ the parties. - :JJ;:;..t (c) Reimbursement of cost of litigation shall be paid to Rominger and Associates ... ~ L~ in the amount of$I,338.80 for Court Reporting fees for depositions (and Q~r $2,572.68 for storage of an automobile. ~ ' ~ (d) All sums set forth above constitute damages on account of personal injury/wrongful death, arising from the occurrence, within the meaning of ~ 104 (a) (2) of the Internal Revenue Code of 1986, as amended. ('f!J Ills lwdu:a uldll;;I~d dUlL (he IU~LILuduu(s) III Wlll\,;1l :sIDU iWIUS an: ucpv~I"",d _I Refell} !ftHl~d y,",uu:~.;J:vu tv ~~ dl\;l ;U"'UUl~ fJ.v.lu u":d fwulo "it i~ "'''''~''''~?VY . t3 PAJ l.a~"u.l'" la.A whlcn may oecome aue allu payame CU) a l"'~ull "f 8.~ iulula },Iift!, U.a....uu,5"'d by die inSlllUllon. III addhlull die 11 U~L d",pu..L b9,",ut "f ~ d~d Iu~LlI.Ul.Iuu\~) SheiH be palu lDere nOrmal ana CUSl~IIIWY Ie~\~) af:.as ~ 4J..I~i-?~~P ORM!_.., f~.l me preparatIOn of federal and I or state taX :rel~r c -iidvoiOfSP _<"h'VU ..J ~~.~: Eq : ~ en ;:: c::> )C)Cl ~~'il ~ ::-u --; _::> -.1 r-) ~ tTI .:::- W l~~ t J _ '-'1 (f) Further, nothing in this approval is meant to be construed as a limitation on any other cause of action available, and/or as to any party, except as to those actions and parties subject to the Federal Law Action at 1 :06-CV-1242 Middle District of Pennsylvania referenced herein. The parties are specifically directed that any release shall be entered into without limiting any causes of actions now pending at Cumberland County ~ivil Docket 2006-2717. J. * NOTE: The account shall be restricted with the notation that "no funds may be withdrawn herefrom prior to SEPTEMBER 11,2021, without order of this court". InRe: ESTATE OF NATHAN HOCKENBERRY ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYL VANIA NO. 21-2004-0508 CERTIFICATE OF SERVICE OF ORDER ORDER DATE: 07/30/07 JUDGE'S INITIALS: EEG TIME STAMP DATE: 07/30/07 IN RE: ORDER SERVICE TO: ROMINGER ASSOCIATES MONICA PROFFIT OSBORNE METHOD OF MAILING: ENVELOPES PROVIDED BY: r8J USPS DRRR o HAND DELIVERED o OTHER_ r8J PETITIONER o JUDGE o CLERK OF ORPHANS COURT MAILED: 07/30/07 """" '\ '\" "" "'"""..." '\ ,\""" '\" '\ '\ '\""" "" '\...""...""" ,... "" ""... "''''''''''''''''''''' '\" '\ '" """'" '\ 'I"""'''' """".. "",,"""'" '\,,,""""""""" "'" ,\"" "" '\ '\ '\",," '\" SERVICE TO: METHOD OF MAILING: ENVELOPES PROVIDED BY: o PETITIONER o JUDGE o CLERK OF ORPHANS COURT o USPS DRRR o HAND DELIVERED o OTHER_ MAILED: ~ ? puty Clerk of Orphans' co~- IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA IN RE: ESTATE OF NATHAN HOCKENBERRY: Lor..:;.) : No. 2004-00508 --, r~~-l ,--.,-"" ~. ~, r-" ~) PETITION TO RELEASE FUNDS TO MINOR co Now comes Petitioners, Kelly Hockenberry and Sandra Hockenberry, graiidparen~~ of ~". ..." Lariah Marie Wilson, a minor, by and through their attorney, Karl E. Rominger, Esquire,'-and aver as follows: 1. A settlement was reached by the parties on January 10,2005. 2. In accord with said settlement, the Honorable Edward E. Guido of the Cumberland County Court of Common Pleas ordered the funds from the settlement to be placed In a sequestered deposit account and not to be drawn upon until the minor, Lariah-Ann Marie Wilson reaches the age of 18. Attached hereto as 'Exhibit A'. 3. Tasha Wilson the natural mother and guardian of Lariah-Ann Marie Wilson is in the process of attempting to buy a reliable vehicle to transport the minor child in. 4. The funds from this settlement are held at Commerce Bank/Harrisburg, NA, Carlisle Commons, Carlisle, Pennsylvania 17013. Attached hereto as 'Exhibit B'. 6. Petitioners seek to withdraw $15,250.00 from a Certificate of Deposit (CD) at said bank, under account number 1800177 in order to provide a reliable vehicle for their grandchild to be transported in. 7. Affidavits of the parties are attached and incorporated herein. WHEREFORE, Petitioners ask this Honorable Court to enter an order releasing said funds to Tasha Wilson, the natural mother of the minor child, for the purpose of purchasing a reliable vehicle to transport their grandchild. \ ~ ATTORNEY'S FEES 7. Petitioners have retained the law firm of Rominger & Associates to have the funds released. 8. $250.00 is a reasonable attorney's fee for the preparation of this Petition. 10. Rominger & Associates seek attorney fees paid from the Minor's funds at Commerce Bank/Harrisburg, NA, Carlisle Commons. 11. Petitioners have concurred with this agreement. WHEREFORE, Petitioners and Counsel ask this Honorable Court to Order attorney fees be withdrawn and directed to be paid to the law firm of Rominger & Associates. Respectfully Submitted, Rominger & Associates Date: February 26, 2008 ? ,. - Karl E. Rominger, Esquire 155 South Hanover Street Carlisle, Pennsylvania 17013 (717) 241-6070 Supreme Court ID #81924 Attorney for Petitioners IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA U\l RE: ESTATE OF NATHAN HOCKENBERRY: : No. 2004-00508 AFFIDA VITS We, Kelly Hockenberry and Sandra Hockenberry, as the grandparents of Lariah-Ann Marie Wilson, a minor, do believe and hereby affirm that the release of funds from Commerce Bank/Harrisburg, NA, Carlisle Commons, Carlisle, Pennsylvania 17013 for her natural mother and guardian, Tasha Wilson, to purchase a reliable vehicle to transport her is in her best interest. We have not exercised any undue influence regarding this decision. /~J~- 2-0-08 Kelly ockenberry kYlrL f1' PhJw..&w~.:J7-08 Sandra Hockehberry U IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA IN RE: ESTATE OF NATHAN HOCKENBERRY: : No. 2004-00508 AFFIDA VIT I, Tasha Wilson, natural mother and guardian of Lariah-Ann Marie Wilson, a minor, do believe and hereby affirm that the release of funds from Commerce Bank/Harrisburg, NA, Carlisle Commons, Carlisle, Pennsylvania 17013 for use to purchase a reliable vehicle to transport my daughter is in her best interest. I do not have sufficient funds otherwise available. I additionally have not been pressured into this decision nor has any influence been unduly asserted on me. It is my desire to purchase this vehicle to transport my daughter in a safe and reliable manner. _,.... ~~:--.r-I-~' /.......~.l...':(\r (\C W' r\!\,.-,~ '!- \ ~ !~- r-:( ," \ II ; l:t.../v'~i'-':L.;_.1 \J!; ~:...J_ .... 2005 JM~ 10 PM \2: 08 IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYL V ANIJC~E~~ 9~i ;-HT ORPH,-N 0 1..'00 IN RE: ESTATE OF NATHAN HOCKENBERRY : CUM8EnU\\~D CO.. p,t, : No. 2004-00508 FINAL ORDER AND NOW, to wit this the 10 ~ay L ...~ ' 2005, it is hereby ordered that the settlement in the amount of O~~1.tII~dred Fifty Five Thousand ($155,000.00) Dollars is granted. The proceeds are to be distributed as follows: (a) A structured settlement valued at $55,000 for the minor child will be paid as outlined in the petition, and as presented into evidence at hearing, as more fully described by Exhibit, and to be funded by the proceeds of the settlement herein approved. (b) An amount of $31 ,600.00 will be paid to Rominger, Bayley & Whare for their hours of work involved in the case, and as agreed to by the parties. It is been acknowledged that Rominger, Bayley & Whare has forgiven costs forwarded, including monies for investigators and storage of the car driven by decedent. (c) The Court authorizes the amount of$4,935.00 to pay the funeral bills of the deceased. (d) The remaining monies of $63,465.00 will be placed in a federally insured bank or saving institution for the benefit of Lariah-Ann Marie Wilson as permitted by the Rules of Civil Procedure. The account shall contain a restriction on its face to the effect that "No sums may be withdrawn prior to September 11, 2021 without an Order of Court. Provided, however, that the account may be rolled over into another federally insured account for the benefit of Lariah- Ann Marie Wilson without an Order of Court, so long as it contains this identical restriction." Proof of the opening of this account shall be filed with the Court within ten (10) days of the receipt ofthe settlement proceeds. ~ ~\ub.l-l ,~' .A, TRUE COpy FRCM RECORD In Testimony wherof. I hereunto set my hand and the seal of said COlirt at Carlisle PA , rr: [(j. '-aav tt~' . 20 ,,~ ~l1i(-l~ ablOi ~, ,\ Clerk of the Orplians Co~~' "1 t Cumberland COLIn!>; l.-.:)l.. 0 -+- (] -l.Ll<? . tC1~.2:1 I (e) All sums set forth above constitute damages on account of personal injury/wrongful death, arising from the occurrence, within the meaning of S 104 (a) (2) of the Internal Revenue Code of 1986, as amended. It is further recognized that the allocation of the award to 100% for wrongful death and 0% for a Survival Action has been approved by the Pennsylvania Department of Revenue, by letter dated December 27,2004, and entered as an exhibit at hearing. (f)--rt ~ fUlLher ordered that LtG iRstitl:tti,on( s) in. whieh. said funds are d~pesited are hl.-It:by granted permission to use the mcome from saId fWIJ~ tiled i3 neeessaFY ~y iFwomc tax which ilIa)' GeGVlllt: Jue and payable as a rt:~ult af said .fll)1d~ bein.g Il'larlftocJ 'uy lhe inStItutIOn. In aadmon lht::: TIU;:,L dGpMtm~nt of said institutioa(g) ghall GI;; }laiJ LlIt:It: llurmal and CUStulllalY [1;;1;;(.,) tlg '.'.'ell as P.ll"t011Jl'try chaff;~s for the prcparfttioR of fe/;;kral ~nil / or "tl'tt~ tax retYFflg VI 41thUiMJ' ~tUlns. (g) Further, nothing in this approval is meant to be construed as a limitation on any other cause of action available, and/or as to any party, except as to those actions and parties released by the agreements attached to the petition. (h) Further, the Court authorizes the administrator and administratrix of the estate to bind the estate by signing the releases attached to the petition, and to extinguish any and all survival claims and wrongful death claims as appropriate. By the Court, J. II i i II 1 I I I ! Financial Institution: Time Certificate of Deposit COMMERCE BANK/HARRISBURG, NA, CARLISLE COMMONS 20 NOBLE BLVD, CARLISLE, PA 17013- Account Name: LARIAH-ANN M WILSON OWNERSHIP TYPE: Individual 1800177 SSNITIN: 162-82-2217 Account Number 1800177 Issue Date January 18, 2005 Deposit Amount $63,465.00 Term 36 Months Maturity Date January 18. 2008 I I I I I I Rate Information: This Account is an interest bearing account. The interest rate on the account is 2.72% with an annual percentage yield of 2.75%. The interest rate and annual percentage yield will not change for the term of the account. The interest rate will be in effect until January 18, 2008. Interest begins to accrue on the business day you deposit noncash items (for example, checks). Interest will be compounded daily and will be credited to the account monthly. Interest on your account will be credited by adding the interest to the principal. The annual percentage yield assumes interest will remain on deposit until maturity. A withdrawal will reduce earnings. Salanc.! Information: We use the daily balance method to calculate the interest on the account. This method applies a daily periodic rate to the principal in the account each day. We will use an interest accrual basis of 365 (or 366 in leap year) for each day in the year. You must maintain a minimum balance of $500.00 in the account each day to obtain the disclosed annual percentage yield. Limitations: You must deposit $500.00 to open this account. You may not make additional deposits into this account. You may not make withdrawals from your account until the maturity date. Time Account Information: Your account will mature on January 18, 2008. If you withdraw any of the principal before the maturity date, we will impose a penalty of 6 month loss of interest. We will use the rate in effect on the date of withdrawal. If the account is closed before interest is credited, you will not receive the accrued interest. This account will automaticall renew. You will have 10 days after the maturity date to withdraw funds without penalty. //} NON TRANSFERABLE - NON NEGOTIABLE ll1 I! \ I I I II [, I oPes v" "" "020' 52 "03 C,,, ~"',"d "MCO,"' 30''''0", 'co "p~";e l' ~f'2qe'eN'd PA ?A G ',ENC'W'NJ,c"',nS'l'50 -_"'0 ~.~~:~~; NOT R E DE EMABLE"r.HFfI L"La'; iah=A~n ~'w'if ~;~"'TURNs~r8",:r'":"~~9~tfr"l:t021 G c:.:J ---->- -.-. w, .",,,,.,, yo", d",i'~' 10 opoo .lim:I::'" "'00"01 wrth "" Th_ Ag,oomool "'" lorth 0",,"' ooodilio", "'~: """ CO," lhad. 'p""lio to your Account. Each signer acknowledges that the Account Holder named nas placed on deposit with the Financial Instltulion the DepOSit Amount Indicated, and has agreed to keep the funds on deposit until the Maturity Date. As used in thiS Agreement, the words "you", "your" or "yours" mean the Account Holder(s), the word "Account" means this Time Deposit Account and the word "Agreement" means thiS Time DepOSit Agreement, and the words "Wf;" , "us" and "our" mean the Financial Institution. This Account is effective as of the Issue Date and is valid as of the date we receive credit for noncash items (such as checks drawn on other financial institutions) deposited to open the Account. Deposits of foreign currency will be converted to U.S. funds as of the date of deposit and will be reflected as such on our records. ISSUE DATE. If you open a time deposit account with us after 3:00 PM on a business day that we are open, we will consider that the transaction was made at the opening of the next business day for issue date and effective date purposes. INTEREST RATE. The interest rate is the annual rate of interest paid on the Account which does not reflect compounding ("Interest Rate"), and is based upon the interest accrual basis described above. AUTOMA,TIC RENEWAL POLICY. If the Account will automatically renew as described above, the principal amount and all paid earned interest that has not been withdrawn will automatically renew on each Maturity Date for an identical period of time as the original deposit term. Interest on renewed accounts will be calculated at the interest rate then in effect for time deposits of that Deposit Amount and term. If you wish to withdraw funds from your Account, you must notify us during the grace period after the Maturity Date. EARLY WITHDRAWAL PENALTY. You have agreed to keep the funds on deposit until the Maturity Date of your Account. Any withdrawal of all or part of the funds from your Account prior to maturity may result in an early withdrawal penalty. We will consider requests for early withdrawal and, if granted, the penalty as specified above will apply. Minimum Required Penalty. If you withdraw money within six (6) days after the date of deposit, the Minimum Required penalty is seven (7) days' simple interest on the withdra":,,n funds. If partial early withdrawal(s) are permitted,. we are required to impose the Minimum ~equired Penalty on the amount(s) Withdrawn Within SIX (6) days after each partial Withdrawal. The early Withdrawal penalty may be more than the Minimum Required Penalty. You pay the early withdrawal penalty by forfeiting part of the accrued interest on the Account. If your Account has not earned enough interest, or if the interest has been paid, we take the difference from the principal amount of your Account. Exceptions. We may let you withdraw money from your Account before the Maturity Date without an early withdrawal penalty: (1) when one or more of you dies or is determined legally incompetent by a court or other administrative body of competent jurisdiction; or (2) when the Account is an Indiviclual Retirement Account (!RA) established in accordance with 26 use 408 and the money is paid Within seven (7) days after the Account is opened; or (3) when the Account IS a Keogh Plan (Keogh), If you forfeit at least the Interest earned on the Withdrawn funds; or (4) If the Account is an IRA or a Keogh Plan established pursuant to 26 USC 408 or 26 USC 401, when you reach age 59 1/2 or become disabled; or (5) within an applicable grace period (if any). RIGHT OF SETOFF. Subject to applicable law, we may exercise our right of setoff or security interest against any and all of your Accounts (except IRA, Keogh plan and Trust Accounts) without notice, for any liability or debt of any of you, whether joint or individual, whether direct or contingent, whether now or hereafter existing, and whether arising from overdrafts, endorsements, guarantees, loans, attachments, garnishments, levies, attorneys' fees, or other obligations. If the Account is a joint or multiple-party account, each Joint or multiple-party account holder authorizes us to exercise our right of setoff against any and all Accounts of each Account Holder. OTHER ACCOUNT RULES. The following rules also apply to the Account. Surrender of Instrument. We may require you to endorse and surrender this Agreement to us when you withdraw funds, transfer or close your Account. If you lose this Agreement, you agree to sign any affidavit of lost instrument, or other Agreement we may require, and agree to hold us harmless from liability, prior to our honoring your withdrawal or request. Death of Account Holder. Each Account Holder agrees to notify us immediately upon the death of any other Account Holder. You agree that we may hold the funds in your Account until we have received all required documentation and instructions. Inclemnity. If you ask us to follow instructions that we believe might expose us to any claim, liability or damages. we may refuse to follow your instructions or may require a bond or other protection, including your agreement to indemnify us. j , I ,~,~l ~\Lk'."'\" ,,~.. Pledge. You agree not to pledge your Account without our prior consent. You may not withdraw funds from your Account until all obligations secured by your Account are satisfied. SURRENDER OF TIME DEPOSIT I CD # 1800177 This certificate is hereby surrendered. Date: Number ,of Signers Required: Anyone (1) of the Authorized Signers(s) shown below. ACCOUI\IT HOLDER: X LARIAH-ANN M WILSON DPFS Ver 085410.02b1aS2 1003 Cop, Harland Fi""ne,al SOlulions, 1"0 1996. 2005 All ;:lighls Reserved ?A PA ...760 Page 2 of 2 ~~ --- INRE: ESTATE OF NATHAN HOCKENBERRY : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : NO. 2004 - 0508 ORPHANS' COURT : ORPHANS' COURT DIVISION ORDER OF COURT AND NOW, this 4TH day of MARCH, 2008, a hearing on the attached petition is scheduled for MONDAY. MARCH 10.2008. at 2:30 p.m. in Courtroom # 3. Karl E. Rominger, Esquire 155 South Hanover Street Carlisle, Pa. 17013 :sld Edward E. Guido, J. " t ...; l 0'> .., , .J '..._-' ( . " __i, V IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION 21-04-508 ORPHANS' COURT IN RE: ESTATE OF NATHAN HOCKENBERRY ORDER OF COURT AND NOW, this 10th day of March, 2008, after hearing, the petition to Release Funds is DENIED. By the Court, Edward E. Guido, J. Karl E. Rominger, Esquire For the petitioners srs ~ -0 ~~ ~J__ w ~ C) w In Re: NATHAN HOCKENBERRY ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA NO.2 I -04-0508 CERTIFICATE OF SERVICE OF ORDER ORDER DATE: 03/1 0/08 JUDGE'S INITIALS: EEG TIME STAMP DATE: 03/1 1/08 IN RE: ORDER OF COURT ''''''''''''''''''''''''''''''''''''''''''''''''''''''''"""""""""""""""""""""""""""",',,""""" SERVICE TO: KARL ROMINGER METHOD OF MAILING: ENVELOPES PROVIDED BY: IZI USPS DRRR D HAND DELIVERED [] OTHER_ o PETITIONER o JUDGE IZI CLERK OF ORPHANS COURT MAILED: 03/1 1/08 """""""""""""""""""""""""""""""""""""""""""""""""""""""""""""" SERVICE TO: METHOD OF MAILING: ENVELOPES PROVIDED BY: o USPS DRRR o HAND DELIVERED o OTHER_ o PETITIONER o JUDGE o CLERK OF ORPHANS COURT MAILED: Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 4/15/2008 =,g Jl~ ROMINGER KARL ERNST ESQUIRE 155 S HANOVER ST Ul -,", CARLISLE, PA 17013 c.) i i'l en RE: Estate of HOCKENBERRY NATHAN RAY File Number: 2004-00508 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. A~3 per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing lS due by: 5/14/2008 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (71 7) 240 - 6345 C) Date: 4/15/2008 -:'-1 :-u HOCKENBERRY KELLY RAY U1 -" 15 REHOBETH ROAD SHIPPENSBURG, PA 17257 c.) Q) RE: Estate of HOCKENBERRY NATHAN RAY File Number: 2004-00508 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. A~3 per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of W:_Ils a Status Report of completed or uncompleted administration. This filing 1S due by: 5/14/2008 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard tfns notice. Sincerely, Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Cumberland County - Register Of Wills One Courthouse Square Carlislet PA 17013 Phone: (717) 240 - 6345 Date: 4/15/2008 j .~ :::~() HOCKENBERRY SANDRA LOUISE ,r j I -1 ()'! 15 REHOBETH ROAD SHIPPENSBURGt PA 17257 , i (.) OJ RE: Estate of HOCKENBERRY NATHAN RAY File Number: 2004-00508 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by P2rsonal Representative under Rule 6.12 is due on the below listed d3.te. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULESt NO. 103 SUPREME COURT RULES DOCKET NO. It for decedents dying on or after July 1, 1992t the personal representative or his counselt within two (2) years of the decedent's deatht shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing lS due by: 5/14/2008 Please feel free to contact this office with any questions you may have. If you have already filed your Status Reportt please disregard this notice. SincerelYt Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Pa. a.c. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF~\o.J\C.'l COTJNTY, PEN'NSYL VANIA Name OfDecedeot~ Date of Death: \-k&-nbernJ: File Number: ;:lCO'-(- C:/:)~~ Pursuant to Pa. O.c. RelIe 6.12, I report the followirlg with respect to completion oftlle administration of the above-captioned estate: 1. State whether administration of the estate is complete: . . . . . . . . . . . . . . . . . . .. DYes ~o 2. If the answel~is No, state when the personal representative reasonably believes that the administration will be complete: -:f...J'1 'I 200' 3. If the answer to No.1 is YES, state the following: a. Did the personal representative file a finaI" account with the Court? . . . . ... DYes DNa b. The separate 011lhallS' Comi No. (if any) for the personal tepresentative's account is: C. Did the personal representative state an account informally to the parties in interest? ................................ DYes 0 No d. Copies of receipts, releases, joinders and approvals of fonnal or infonnal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this repOli. D""ty,23 -oF ::2 Sigllat,fre of Persoll Filing this Form 1-1...: VI.! ; ,'/,,'0,, I U:r~r^/\ (\ ". ,.."_J.,,__,_:~~! [J .LO IL., I " "'f1';.J.d.1 10 ,/ vd v .. i J"''' 1/'""" \ 'I _ . "-ol ~l; /idJl8 Capacity: DPersonal Representative ~ COUllsel ~\ E. ~b~'~ Name of Persoll Filillg this Form ~\J.q- &. tlD\3 OS:I ~Jd CC&dl/aaaz Telepholle J ~a. ~.~. R~~e 6012 ST'~~'1JS P®~ REGISTER OF WILLS OF ~lY I')~-(-~0~~`~ COL~IvTY, PE~TiSYLV ~itilA Name of Deceden Date of Death: File Number: ~~-~ ~' ~C~ L>.,,-~..~,.++.~ D., rl r D„lo ~ 1 ~ T ,-a„n,-t the fnlln~z~ina ~z~ith ,-acr,ent t~ nmm~lP_,tinT1 clf the 3t"~1111T115trat1011 Of 1 liL Jl.tu11L LV L CL. V.l.~. l~.uly v. t.c., i •~.r vas uAV iv.... .. ...b Y--' -" r the above-captioned estate: 1. State whether administration of the estate is complete :.................... ~ Yes No 2. If the answei"is No, state when the personal representative reasonably believes that the administration will be complete: ~C . L ~ ~ Ci 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final account with the Court? ....... Yes ! No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account infornially to the parties in interest? ............................... Yes [ENO d. Copies of receipts, releases, joinders and approvals of formal or informal accounts maybe filed with the Clerlc of the Orphans' Court and may be attached to this report. "' ~- v Dnte bd ..~~ .~~~ 7~"u~'l~ ,~ r, 1 l~<~ ~~,~~~~-'~~0 ~r~ z_Ja~ J~,' i,i~J~ ku oz :~ ~a ~ ~ ~~v ~oo~ - - ; ,. - mature of Person Filin,; this Fornx Capacity: Personal Representative ounse] ~- u;~ r Nmne of Person Filing this Fa•m 1~5 cS -Nc~ov~~ ~ Addre Telepfaaie Form RY]'-l0 reu. 10.13.0/ ~_~ Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 Date: 4/08/2009 ~_? ^~~ ROMINGER KARL ERNST ESQUIRE ~?' ~ ''j 155 S HANOVER ST -: ;-„ ~ ___ _~ ~ =~ ~ CARLISLE , PA 17 013 ~--~~_- __ Z c . _~ ;~ ~'> ~~ '~- ~ "` r RE: Estate of HOCKENBERRY NATHAN RAY File Number: 2004-00508 Dear Sir/Madam: T]~is notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPR~iME COURT ORPHANS' COURT RULES, NO. 103 S~:JPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (:Z) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. Tanis filing is due by: 5/14/2009 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, r' l ~w ~...' 3.,',. i 'i Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PP. 17013 Phone:(717) 240-6345 Date: 4/Oc/2009 HOCKENBERRY KELLY RAY i5 REHOBETH ROAD SHIPPENSBURG, PA 17257 RE: Estate of HOCKENBERRY NATHAN RAY File Number: 2004-00508 Dear Sir/Madam: ~~ cn ~- - ~ ;1 _ - ~~ = , - -- '`` , - ~ - --. _ _, _ ; .` --Q _= `~ _ ~'-' G~ _ O This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. F,s per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying ors or after Truly 1, 1992, the personal representative or his counsel, within two 1;2) years of the decedent's death, shall file with the P~egister of Wills a Status Report of completed or uncompleted administration. This filing is due by: 5/14/2009 F?lease feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, Glenda Farner Strasbaugh Clerk of the Orphans' Court :~ cc: File Counsel Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 Date: 4/08/2009 HOCKEK?BERRY SANDRA LOUISE ~~ r`' ~-- ~~ ~ ,..., 1 ~~ a 15 REHOBETH ROAD _~`;-,, _ SHIPPENSBURG, PA 17257 `-''~`,-? ~'~ ~` -:~ --~i `L7 _- r r t:,,> RE: Estate of HOCKENBERRY NATHAN RAY "~ File Number: 2004-00508 DE=_ar Sir/Madam: TlZis notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, N0. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 5/14/2009 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~~A~ ~ l d _.__ _ 1 / g ~^~ Glenda Farner Strasbaugh Clerk of the Orphans' Court c:c : File Counsel Via. ~.C.nRupe 6.12 S'T,~,',T,~~I,rS R~"P(~R~ REGISTER OF WILLS OF l ' 1 i -I~A ~kX~U~X 1~. COU1~`TY, PEivitiSYLV a~FIA Name of Decedent: v ~5~~ Date ofDeath: ~ -File Number:~~~x ?~ "-' p,,,.,,,,,,„. ~ to ~ 17 T o ni4 t}. FnllmsrinQ sxnt}:.•PCnPr.t fn Gor!lnletinn of the administration of • uiouaa,s tC a u. ~.~. Rol,.. v. a<-, . i..Nv.~ ...e ........, ...~ r-- r the above-captioned estate: 1. State whether administration of the estate is complete :.................... (Yes No 2 If the answer is No, state when the personal representative reasonably believes that the administration wi13 be complete: 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final~account with the Courrt? .... , , . Yes ~ No b. The separate O~hatis' Cout~ No. (if any) for the personal t~epresentative's account is: c. Did the personal representative state an account informally to the parties in interest? ............... • • - - - • • • • • • - - - • C~Yes QNo d. Copies of receipts, releases, joinders and approvals oP fotznal or informal accounts Wray be filed with the Clerlc of the Orphans' Court and may be attached to this report. ~ ~3 ~ ~~ Dore ~.~f ~#Ju ~~~~~;n~~~-~~ao ~`.. liiJ~ E~~ az =~ ~a ~ i ~~~ ~~o~ Si,onp re a1 Persa+ Filing this Forn: Capacity: Personal Representative Counsel ~, Nnu+e of Perron Filing thu Forns ~~ S -~-~ over cS-~ Add s ~.~ rl; ~~ I©!~- /70.03. Telephone Form RWt0 rtv. l0.f3.06 Pa. ®.C. (1Mule 6.12 STATUS REP®~T REGISTER OF WILLS OF ~.Jt~--~1~~~.0-a'~C~ CONY, PE~;VNSYLVANI?, Name of Decedent: V Date of Death: ~L File Number: -- OOSO Pur~uai~t tv Pu. v.~~ ~:.~i V.i+7.-, I r~°.pv.-: rha fpllCs~;no ~~iith _•PCtner.t tt~ r.nmpl eti(ln Of the adnlinlStration of the above-captioned estate: 1. State whether administration of the estate is complete :.... . ......... . . • ~ • • ~ Yes 2 If the answeris No, state when the personal representative reasonably believes that the administration will be complete: )r~ ~y 7 G `/ 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final account with the Court? ....:.. Yes ~ No b. The separate Orphans' Court No. (if any} for the personal representative's account is: c. Did the personal representative state an account infornzally to the parties in interest? .............................. • ~ ~~.'es ~No d. Copies of receipts, releases, joinders and approvals oYforrnal or informal accounts may be filed with the Clerlc of the Orphans' Court and may be attached to this report. Onte l ~ ~ O __ ~ gnature oJPerson Filing this Form f"~ i~. O F`~ Capacity: ~PersonalRepresentative Counsel ~ ~ { c%~ a~ ,~_, _ ~f ~ C• o ~S 4~r - - == c ~ -+-- - - ~ ~ ~ ` Nrtrne ojPerson Filing this Form ~ - ` ~ C13 - '; K ~ ~~ Vhf C~-h. - N cV_ ~ ~ , ~ --- ~ j .~ f a ~ Address :_, ~ ~-' ~ F-: (~~,~ ~ ~A- x-1013 --~ ~~ `- -1 ~ - O 1a N Telephone Fo+'+ieRW-10 rev. 10.(3.OG Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 Date: 4/16/2012 ROMINGER KARL ERNST ESQUIRE 155 S HANOVER ST CARLISLE, PA 17013 RE: Estate of HOCKENBERRY NATHAN RAY File Number: 2004-00508 Dear Sir/Madam: c ?o N -~ ;-., ~J 3ar r j [ ~ ~~~ ~ . ~ ~ ~', -- .,~ y ld t _. fT? "' ' ~ r l This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, N0. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 5/14/2012 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, G1 e ,~ Clerk of the Orphans' Cour J cc: File Personal Representative(s) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 Date: 4/16/2012 t7 ..: '~ ~ HOCKENBERRY KELLY RAY ~.O ''~' i -~-, , - 15 REHOBETH ROAD ~ ~ ?_ ~ "`a "~ - SHIPPENSBURG, PA 17257 rn r- cn a'~ -~ a L.'J -~...:Tl ~ ' ~, v t l,! } S.: , RE: Estate of HOCKENBERRY NATHAN RAY File Number: 2004-00508 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, N0. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 5/14/2012 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 ~..., ?~ ._ ~.^ _z~ Date: 4/16/2012 ~~~ ~~= rn ~~~ ~' F ~i ~ i ` _~ HOCKENBERRY SANDRA LOUI SE ~=~ ~ ; ~7 _.. ~ -' " -~ , ~ l --"7 . - r-. 15 REHOBETH ROAD ~~-~ ~TJ ~,:? ~ .~ `~' PA 17257 SHIPPENSBURG ~~ J,, "~ , G. Ta RE: Estate of HOCKENBERRY NATHAN RAY File Number: 2004-00508 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, N0. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 5/14/2012 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, len a Fa ner Strasbaug Clerk of the Orphans' Court cc: File Counsel ,-~, _ . - - '~- -~ '.F~ ~.. ~~ .! ~ In Re: Estate of HOCKENBERRY NATHAN RAY ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA N0. 2004-00508 NOTICE OF FAILURE TO FILE STATUS REPORT Personal Representative: HOCKENBERRY KELLY RAY Counsel for Personal Representative: ROMINGER KARL ERNST ESQUI Date of Decedent's Death: 5/14/2004 The Orphans' Court record indicates that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, is hereby given that you have ten (10) days to file the Status Report. If the required 6.12 form is not filed in accordance with Rule 6.12 the Court will be notified of such delinquency and the undersigned will request that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 6/1/2012 Glenda Farner Strasbaugh Clerk of the Orphans' Court Distribution: Personal Representative Counsel for Personal Representative Estate File ~._..... .. .,. nr ~N i~- CL J ~~~F ~ ~ r~~, ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF In Re: Estate of CUMBERLAND COUNTY HOCKENBERRY NATHAN RAY PENNSYLVANIA NO. 2004-00508 NOTICE OF FAILURE TO FILE STATUS REPORT Personal Representative: HOCKENBERRY KELLY RAY Counsel for Personal Representative: ROMINGER KARL ERNST ESQUI Date of Decedent's Death: 5/14/2004 The Orphans' Court record indicates that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, is hereby given that you have ten (10) days to file the Status Report. If the required 6.12 form is not filed in accordance with Rule 6.12 the Court will be notified of such delinquency and the undersigned will request that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 6/1/2012 Glenda Farner Strasbaugh Clerk of the Orphans' Court Distribution: Personal Representative Counsel for Personal Representative Estate File _ .. ~, ORPHANS COURT DIVISION COURT OF COMMON PLEAS OF In Re: Estate of CUMBERLAND COUNTY HOCKENBERRY NATHAN RAY PENNSYLVANIA NO. 2004-00508 NOTICE OF FAILURE TO FILE STATUS REPORT Personal Representative: HOCKENBERRY SANDRA LOUISE Counsel for Personal Representative: ROMINGER KARL ERNST ESQUI Date of Decedent's Death: 5/14/2004 The Orphans' Court record indicates that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, is hereby given that you have ten (10) days to file the Status Report. If the required 6.12 form is not filed in accordance with Rule 6.12 the Court will be notified of such delinquency and the undersigned will request that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 6/1/2012 '~~~ Glenda Farner Strasbaugh _ Clerk of the Orphans' Court Distribution: Personal Representative Counsel for Personal Representative Estate File U IN RE: ESTATE OF HOCKENBERRY NATHAN RAY ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA NO. 2004-00508 NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE n ~~.~ Personal Representative: HOCKENBERRY KELLY RAY ~ t ..--~~~~ 1.~./ ~~f Counsel for Personal Representative: ROMINGER KARL ERNST ESQUI ~~ L - ~" ' ~ "' ~? -' Date of Decedent s Death: 5/14/2004 - ~:~,-_ Date of Delinquency Notice: 6/1/2012 0';=~ D __; C!D The undersigned, Glenda Farner-Strasbaugh, Clerk of Orphans' Court, in accordance with Rine 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules was given on the above date and that the ten (10) day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 6/15/2012 ~~~ Glenda Famer Strasbaugh Distribution: Personal Representative Clerk of Orphans' Court Counsel for Personal Representative Estate File A hearing is scheduled for SEPTEMBER 14, 2012 AT 9:30 AM in Courtroom No. 4. If the Status Report is filed prior to the hearing date, the hearing will automatically be cancelled. Kevi .Hess, P.J. ~~ ~'c~ J J r~ C 1~ ~.; _.. Tt -:' .--~ ~~ Q -,-, 4 IN RE: ESTATE OF HOCKENBERRY NATHAN RAY ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA NO. 2004-00508 NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RU1 n - _--.~ ~ ~-, --ri m}~ ~ L. cz~ z:~ c = ~-, ,--~ Personal Representative: HOCKENBERRY SANDRA LOUISE . ~~ x '_=~' :-`-_" ~- : N ,-.... - Counsel for Personal Representative: ROMINGER KARL ERNST ESQUI ~ ~ : r Date of Decedent's Death: 5/14/2004 - x„ C ~:_ -- ~~~- ,='--'. Date of Delinquency Notice: 6/1/2012 n `~" o Lr The undersigned, Glenda Farner-Strasbaugh, Clerk of Orphans' Court, in accordance with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules was given on the above date and that the ten (10) day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 6/15/2012 Distribution: Personal Representative /, ~' /~~ Glenda Farner Strasbaugh Clerk of Orphans' Court Counsel for Personal Representative Estate File A hearing is scheduled for SEPTEMBER 14, 2012 AT 9:30 AM in Courtroom No. 4. If the Status Report is filed prior to the hearing date, the hearing will automatically be cancelled. °~' /~ Kevin ess, P.J. IN RE: ESTATE OF ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF HOCKENBERRY NATHAN RAY CUMBERLAND COUNTY PENNSYLVANIA NO. 2004-00508 NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT R>63LE ~ ra -~-~ .-~--., ,pz~ ~ rnC' Personal Representative: HOCKENBERRY KELLY RAY ~,__ . ~ ,_,.. c rv -. . Counsel for Personal Representative: ROMINGER KARL ERNST ESQUI v ~ r ~ Date of Decedent's Death: 5/14/2004 _ ,;,c_ oc~ ~ ~ ~_ ~ j ` ' Date of Delinquency Notice: 6/1/2012 D - `-" The undersigned, Glenda Farner-Strasbaugh, Clerk of Orphans' Court, in accordance with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules was given on the above date and that the ten (10) day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 6/15/2012 1~~~ Glenda Farner Strasbaugh Distribution: Personal Representative Clerk of Orphans' Court Counsel for Personal Representative Estate File A hearing is scheduled for SEPTEMBER 14, 2012 AT 9:30 AM in Courtroom No. 4. If the Status Report is filed prior to the hearing date, the hearing will automatically be cancelled. . ~ ~ Kevin ess, P.J. .~ ~ ' ~ ,., • ..- m ~~ ~ ~ u~ _____._.___----. 5 ~ Postage $ ~_ 1.t1 ~ Certified Fee postmark ~ ~ Here ° Return Receipt Fee ° (Endorsement Required) ° Restricted Delivery Fee ° (Endorsement Requred) ~ Total Postage 8 Fees ~ 5' ~~ ° HOCKENBERRY KELLY RAC' ~`' 15 REHOBETH ROAD o SHIPPENSBURG PA 17257 .~ • • ~ €~ ~-~ 1 .1~ I ~ L.fl ~ postac ~ ~r7 ` ~ CertOied Fr>, ~ ~-1 ~ 7 ~~ postmark ~ _..1~--- Here ° Return Receipt F_~ ° (Endorsement Require+) a ° Restricted Delivery F~ e (EndorsementRequin:.cq _ __ ° "". ~i5 ~ ~ Total postage & Fe_s ~ ~ 4 f1J ° ROMINGER KARL ERNST r" 155 S HANOVER ST o CARLISLE PA 17013 N ..A t i ~ ~ `~;~ i o w :iill~~;~ i ~, ~ ~ a i:~ e`y ~ ~~~~A I ra '._ ... r„ ._ ~_5 ~ ~e fL! _ Ee ~" ~ C ~~ ~ O O ~ ~n (Er > r: rne~ F e ~ - -` i ~ i Postmark , ~ ( 5 ) 7 Hern, ~ R., ii ~,j - ~.. _.- - - --- ~ ~ "Fn t ~~; -nee ,~, ~ 0 ~ HOCKENBERRY SANDRA LOUISE a 15 REHOBETH ROAD ° SHIPF~NSBURG PA 17257 UNITED STATES POSTAL SERVICE f'-" ..~ First-Class Maii Postage 8 Fees Paid USPS Permit No. G-10 • Sender: Please print y ur name, address, and ZlP+4 iQn this box • `~ `~_ s Glenc~~rner Strasbaugh ~.., . ""- _~ :~ ~ Registex~f Wills and Clerk of Orphans' Court .' to Couri ~'c~Cumberland -`~i `_~ aOne ' Ouse Square L~~ ~~; ~Carlis 17013 `'i l~ ~~ L'>" V t = 1 i„~lli„.lli,,,,,,li,Ali,t~ll,F~ll,f,i1„~i~ll~l~fl,ilf,~lltl ,, ^ Complete items 7 , 2, and 3. Also cornplete item 4 if Restricted Delivery is desired. ^ Print your name and address on the reverse so that we can return the card to you. ^ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: HOCY.ENBERRY SANDRA LOUISE 15 REHOBETH ROAD SHIPPENSBURG PA 17257 A. Signature ~~/7~ ~ X ~ y// ^ Agent j~ ^ Addressee B. Rhe~ceyed (P~fed Name) C~~~ ery ~ `~~/ ~ ~~ ~7 ~F D: Is dellve4y address different from item f? Yes If YES, enter delivery address below: ^ No 3. Service Type ~l Certified Mail ^ Express Mail egistered ^ Return Receipt for Merchandise ^ Insured Mail ^ C.O.D. 4. Restricted Delivery? {Extra Fee) ^ Yes 2. Article Number ~DO7 D220 DDD2 2521, 529D (Transfer from service IabelJ ___ .. _---__ .. PS Form 381 1, February 2004 Domestic Return Receipt 102595-0&M-1540 UNITED STATES POSTAL SERVICE First-Class Mail Postage 8 Fees Paid USPS Permit No. G-10 • Sender: Please print y ur name, address, and ZIP+4 in this box • o ~(- s~~ ag N ~ ~,~ c~ Glen~a~rner Strasbaugh u= _~~ -_= Regi~gf Wills and Clerk cif Orphans' Court ._; .~ Coun'`t~~~ Cumberland - _" ~ One :Cya~thouse Square L ,-~ ~ CarlsA 17013 ~-' +: ~ ~ ~ i_~ - V ~ w i~~~ifl~,.Ill,~~„~li~~li,~~li~~,I1~l~i~~~~i~ll~l~,Li~~~~ll~l I,l /' ^ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ^ Print your name and address on the reverse so that we can return the card to you. ^ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: HOCKENBERRY KELLY RAY 15 REHOBETH ROAD SHIPP~NSBURG pA 1'725? A. X ^ Agent B. Received ~ Printed N me) ~'. Date ~ ~ ~~. D. Is de ery address different from item b ^ es If YES, enter delivery address belocr Na 3. Service Type Certified Mail ^ Express Mail ^ Registered ^ Return Receipt for Merchandise ^ Insured Mail ^ C.O.D. 4. Restricted Delivery? (Extra Fee) [) yes 2. Article Number 707 0220 0002 25211 5283 (transfer from service label) PS Form 381 ~ ,February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First-Class Mail I Postage & Fees Paid ' USPS Permit No. G-'f0 • Sender: Please print your name, address, and ZIP+4 i't this box • ~u ' 50 ~` ~;3 o ~~ Y.ct ~~~ = Glend•ner Strasbaugh ~.a,..~ r __ _ ,, sRegis Wills and Clerk of Orphans' Court ~~T ~,,' ~Count~' Cumberland . - ~ One ~ ouse Square ,~? , ~ ~Carlisl~` 17013 ~'- --~ ~ N i}i}1fiF}}}1~iii1S}1~i}~ii}}S41ii~i}1}~i:}iii}3ili}i i•~}}iiliit -y~,',' T V~ ^ C,ompfete items 1, 2, and 3. Also complete itern 4 if Restricted Delivery is desired. ^ Print your name and address on the reverse so that we can return the card to you. ^ Attach this card to the back of the maiiplece, ar on the front if space permits. Article Addressed to: ROMINGER KARL ERNST 155 S HANOVER ST CARLISLE PA 1'707..3 A. X ^ Agent ^ Addressee B. Received b {Printed Name) C. ate~6f Delivery ~~ L~~ti~~~~~ (J 2 Z,~_ D. Is delivery address different from item 1? ^ Yes If YES, enter delivery address below; ^ No 3. Service Type Certified Mail ^ Express Mail Registered ^ Return Receipt for Merchandise ^ Insured Mail ^ C.O.D. 4. Restricted Delivery? (Extra Fee) ^ Yes 2. Article Number 7pp7 p220 QL102 2521, 53Q6 (Transfer from service label} P;i Form 381 1, February 2004 Domestic Return Receipt _ toz5s5-o2-M-tsao ~~ Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF 1 ' 1 tM _ ~C'~'U~...(LC~ COUNTY, PENNSYLVANIA Name of Decedent: Date of Death:~~' ~ ~ 1 ~~~ File Number: Z (~~ "' ~~~]~lr Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to completion of the administration of the above-captioned estate: i . State whether administration of tl~e estate is cc~;Zpl:,t,: :.................... ^Yes o 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: ~.ec 3 ~, z~12 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final account with the Court? ....... ^Yes o b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? ............................... ^Yes ~No d. CoriPs of receipts. releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. ,.--- ~' C, Dnte ~ Signature o Person Filing this Form V ~~"- CV ;~ t y s i .'.~ ~ '' ~~ ' ~YJ ~ ~. t.C N Form RW-!0 rev. 10.13.06 Capacity: ^Personal Representative ['~qunsel Nnme of erson Filing dltis Form ~ ~'S ~ .~ . ~ 1't T` S~CI~2_'~' Address Telephone ~~ `_~~, t (~~Z~(~ ~Z`~~ IN RE: ESTATE OF HOCKENBERRY NATHAN RAY NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE Personal Representative: HOCKENBERRY KELLY RAY Counsel for Persar~al R epresentative: ROMINGER K4RL ERNST ESQLII Date of Decedent's Death: 5/14/2004 Date of Delinquency Notice: 6/1/2012 The undersigned, Glenda Farner-Strasbaugh, Clerk of Orphans' Court, in accordance with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules was given on the above date and that the ten (10) day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 6/15/2012 Distribution: Personal Representative ORPHANS' COURT DIVISION COURT OF COMMON PLI?AS OF CUMBERLAND COUNTY PENNSYLVANIA NO. 2004-00508 Glenda Farner Strasbaugh Clerk of Orphans' Curt Counsel for Personal Representative Estate File A hearing is scheduled for SEPTEMBER 14, 2012 AT 9:30 AM in Courtroom No. 4. If the Status Report is filed prior to the hearing date, the hearing will automatically be cancelled. ~9 /~~. Kevin ess, P.J. V Cumberland County Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone : (717) 240-6345 E 7 7 A 1 Date : 4/15/2013 Cum ROMINGER KARL ERNST 155 S HANOVER ST CARLISLE, PA 17013 RE: Estate of HOCKENBERRY NATHAN RAY File Number: 2004-00508 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6 . 12 is due on the below listed date . As per the AMENDMENTS TO SUPREME COURT ORPHANS ' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992 , the personal representative or his counsel, within two (2) years of the decedent ' s death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 5/14/2013 Please feel free to contact this office with any questions you may have . If you have already filed your Status Report, please disregard this notice . Sincerely, Glenda Farner Strasbaugh Clerk of the Orphans ' Court CC : File Personal Representative (s) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 U Phone : (717) 240-6345 ,, _, ._ .. f CU lei E3 F.Iii .�... Date : 4/15/2013 HOCKENBERRY KELLY RAY 15 REHOBETH ROAD SHIPPENSBURG, PA 17257 RE : Estate of HOCKENBERRY NATHAN RAY File Number: 2004-00508 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6 . 12 is due on the below listed date . As per the AMENDMENTS TO SUPREME COURT ORPHANS ' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992 , the personal representative or his counsel, within two (2) years of the decedent ' s death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 5/14/2013 Please feel free to contact this office with any questions you may have . If you have already filed your Status Report, please disregard this notice . Sincerely, Glenda Farner Strasbaugh Clerk of the Orphans ' Court CC : File Counsel Cumberland County Register Of Wills One Courthouse Square Carlisle, PA 17013 OF Phone : (717) 240-6345 iJ LO L C U m 8 E Date : 4/15/2013 HOCKENBERRY SANDRA LOUISE 15 REHOBETH ROAD SHIPPENSBURG, PA 17257 RE: Estate of HOCKEN9ERRY NATHAN RAY File Number: 2004-00508 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6 . 12 is due on the below listed date . As per the AMENDMENTS TO SUPREME COURT ORPHANS ' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1 , 1992 , the personal representative or his counsel, within two (2) years of the decedent ' s death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 5/14/2013 Please feel free to contact this office with any questions you may have . If you have already filed your Status Report, please disregard this notice . Sincerely, A74& Glenda Far ne�r Strasbaugh Clerk of the Orphans ' Court CC : File Counsel Pa. O.C./Rule 6.12 STATUS REPORT REGISTER OF WILLS OF 1 '� 1 Mhtrtn ,l! COUNTY, PENNSYLVANIA Name of Decedent: On-y tot 1 Date of Death:Mai 1 9 7 ,00L4 File Number: ZO(:)q ^ Q7)S00 Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: . . . . . . . . . . . . . . . . . . . . ❑Yes l No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final account with the Court? . . . . . . . ❑Yes ❑No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑Yes ONO d. Copies of receipts, releases,joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Dnte Signature Berson Filing this Form �_J Capacity: ❑Personal Representative [36ounsel !d3 —s Nom' � Name of Person Filing this Farm Address LU T Gov-1�S1L 1�� 1013 C1 �— r U S W Co L Telephone � o ti Form RW-10 rev. 10.13.06 ^ Cumberland County - Register Of Wills One Courthouse Square - Carlisle, PA 17013 Phone : (717) 240-6345 RECORDED OFFICE OF REGISTER OF WILLS 2014 AN 14 AM 1111 CLERK OF ORPHANS' COURT Date : 4/14/2014 CUMBERLAND CO., PA ROMINGER KARL ERNST 155 S HANOVER ST CARLISLE, PA 17013 RE : Estate of HOCKENBERRY NATHAN RAY File Number: 2004-00508 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6 . 12 is due on the below listed date . As per the AMENDMENTS TO SUPREME COURT ORPHANS ' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1 , 1992 , the personal representative or his counsel, within two (2) years of the decedent ' s death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 5/14/2014 Please feel free to contact this office with any questions you may have . If you have already filed your Status Report, please disregard this notice. Sincerely, Lisa M. Grayson, sq. Clerk of the Orph Court RECORDED OFFICE OF REGISTER OF 'idlLL S 2014 JUN 2 APi 9 38 CLERK OF ORPHANS' COURT ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF In Re: Estate of CUMBERLAND COUNTY HOCKENBERRY NATHAN RAY PENNSYLVANIA NO. 2004-00508 NOTICE OF FAILURE TO FILE STATUS REPORT Personal Representative: HOCKENBERRY KELLY RAY Counsel for Personal Representative: ROMINGER KARL ERNST Date of Decedent's Death: 5/14/2004 The Orphans' Court record indicates that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his,her or its Status Report required by Rule 6.12,Supreme Court Orphans' Court Rule and that the requisite notice,pursuant to Rule 6.12,Supreme Court Orphans' Court Rules,is hereby given that you have ten (10)days to file the Status Report. If the required 6.12 form is not filed in accordance with Rule 6.12 the Court will be notified of such delinquency and the undersigned will request that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. D Date: 6/2/2014 O Lisa M. Grayson,Esq. Clerk of the Orphans'Court Distribution: Personal Representative Counsel for Personal Representative Estate File RECORDED OFFICE OF REGISTER OF WILLS 2014 JUN 2 AM 9 38 CLERK OF ORPHANS' COURT ORPHANS' COURTDIVISION CUMBERLAND CO., PA COURT OF COMMON PLEAS OF In Re: Estate of CUMBERLAND COUNTY HOCKENBERRY NATHAN RAY PENNSYLVANIA NO. 2004-00508 NOTICE OF FAILURE TO FILE STATUS REPORT Personal Representative: HOCKENBERRY SANDRA LOUISE Counsel for Personal Representative: ROMINGER KARL ERNST Date of Decedent's Death: 5/14/2004 The Orphans' Court record indicates that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his,her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice,pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, is hereby given that you have ten(10)days to file the Status Report. If the required 6.12 form is not filed in accordance with Rule 6.12 the Court will be notified of such delinquency and the undersigned will request that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 6/2/2014 Lisa M.Grayson,Esq. Clerk of the Orphans' Court Distribution: Personal Representative Counsel for Personal Representative Estate File RECORDED OFFICE OF REGISTER OF WILLS 2014 JUN 2 AM 9 38 CLERK OF ORPHANS' COURT CUMBERLAND CO., PA ORPHANS' COURTDIVISION COURT OF COMMON PLEAS OF In Re: Estate of CUMBERLAND COUNTY HOCKENBERRY NATHAN RAY PENNSYLVANIA NO. 2004-00508 NOTICE OF FAILURE TO FILE STATUS REPORT Personal Representative: HOCKENBERRY KELLY RAY Counsel for Personal Representative: ROMINGER KARL ERNST Date of Decedent's Death: 5/14/2004 The Orphans' Court record indicates that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his,her or its Status Report required by Rule 6.12,Supreme Court Orphans' Court Rule and that the requisite notice,pursuant to Rule 6.12,Supreme Court Orphans' Court Rules, is hereby given that you have ten(10)days to file the Status Report. If the required 6.12 form is not filed in accordance with Rule 6.12 the Court will be notified of such delinquency and the undersigned will request that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 6/2/2014 O' Lisa M.Grayson,Esq. Clerk of the Orphans' Court Distribution: Personal Representative Counsel for Personal Representative Estate File RECORDED OFFICE OF 1 REGISTER OF WILLS I IN RE: ESTATE OF ORPHANS' COURT DIVISION 2014 JUN 17 PM 12 1S COURT OF COMMON PLEAS OF HOCKENBERRY NATHAN RA(YLFZI� OF CUMBERLAND COUNTY ORPHANS' COURT PENNSYLVANIA CUMBERLA.',;D CO., Pt. N0. 2004-00508 NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE Personal Representative: HOCKENBERRY KELLY RAY Counsel for Personal Representative: ROMINGER KARL ERNST Date of Decedent's Death: 5/14/2004 Date of Delinquency Notice: 6/2/2014 The undersigned, Lisa M. Grayson, Esq., Clerk of Orphans' Court, in accordance with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and tli"a't the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules was given on the above date and that the ten (10) day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 6/13/2014 _ Lisa M. Grayson, Esq. Distribution: Personal Representative Clerk of Orphans' Court Counsel for Personal Representative Estate File A hearing is scheduled for SEPTEMBER 5,2014 at 9:30 AM in Courtroom No. 4. If the Status Report is filed prior to the hearing date, the hearing will automatically be cancelled. [� Kev' Hess, P.J. RECORDED OFFICE OF C1STEi' CF ';;ILLS IN RE: ESTATE OF RE ORPHANS' COURT DIVISION ?019 JUN 17 Pn 12 15 COURT OF COMMON PLEAS OF HOCKENBERRY NATHAN RAY CUMBERLAND COUNTY CLE _,;' OF PENNSYLVANIA ORPIIA;�S' COURT CUt;E3E Lr`.i: ) CO., PA NO. 2004-00508 NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE Personal Representative: HOCKENBERRY SANDRA LOUISE Counsel for Personal Representative: ROMINGER KARL ERNST Date of Decedent's Death: 5/14/2004 Date of Delinquency Notice: 6/2/2014 The undersigned, Lisa M. Grayson, Esq., Clerk of Orphans' Court, in accordance with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the r; requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules was given on the above date and that the ten (10) day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 6/13/2014 Lkirs'a M. Grayson, Esq. Distribution: Personal Representative Clerk of Orphans' Cou Counsel for Personal Representative Estate File A hearing is scheduled for SEPTEMBER 5,2014 at 9:30 AM in Courtroom No. 4. If the Status Report is filed prior to the hearing date, the hearing will automatically be cancelled. Kevii . Hess, P.J. RECORDED OFFICE OF IN RE: ESTATE OF REGISTER OF VIILLS ORPHANS' COURT DIVISION H 1` LN 1 I OCKENBERRY NA y N ¢ al 7 P 1 Z Z S COURT OF COMMON PLEAS OF COUNTY CLERK OF PENNSYLVANIA ORPHANS' COURT CUMBERLMID CO., PA NO. 2004-00508 NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE Personal Representative: HOCKENBERRY KELLY RAY Counsel for Personal Representative: ROMINGER KARL ERNST Date of Decedent's Death: 5/14/2004 Date of Delinquency Notice: 6/2/2014 The undersigned, Lisa M. Grayson, Esq., Clerk of Orphans' Court, in accordance with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules was given on the'above date and that the ten (10) day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 6/13/2014 LK M. Grayson, Esq. Distribution: Personal Representative Clerk of Orphans' Court Counsel for Personal Representative Estate File A hearing is scheduled for SEPTEMBER 5,2014 at 9:30 AM in Courtroom No. 4. If the Status Report is filed prior to the hearing date, the hearing will automatically be cancelled. KevinB . Hess,P.J. Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone : (717) 240-6345 RECORDED OFFICE OF REGISTER OF WILLS ?015 PPR 14 Ali 8 16 CLERK OF Date : 4/13/2015 0RFHAt , C0MR - CUMBERL ? C HOCKENBERRY KELLY RAY PA 15 REHOBETH ROAD SHIPPENSBURG, PA 17257 RE : Estate of HOCKENBERRY NATHAN RAY File Number: 2004-00508 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6 . 12 is due on the below listed date . As per the AMENDMENTS TO SUPREME COURT ORPHANS ' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992 , the personal representative or his counsel, within two (2) years of the decedent ' s death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 5/14/2015 Please feel free to contact this office with any questions you may have . If you have already filed your Status Report, please disregard this notice . Sincerel , Lisa M. Grayson, Esq. Clerk of the Orphans ' Court Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone : (717) 240-6345 RECORDED OFFICE OF REGISTER OF WILLS ?015 PPR 14 9M 8 16 CLCD QF' Date : 4/13/2015 CUMBERLAND T CUMBERL ND .f2., P AII HOCKENBERRY SANDRA LOUISE 15 REHOBETH ROAD SHIPPENSBURG, PA 17257 RE: Estate of HOCKENBERRY NATHAN RAY File Number: 2004-00508 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6 . 12 is due on the below listed date . As per the AMENDMENTS TO SUPREME COURT ORPHANS ' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992 , the personal representative or his counsel, within two (2) years of the decedent ' s death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 5/14/2015 Please feel free to contact this office with any questions you may have . If you have already filed your Status Report, please disregard this notice . Sincerely, Lisa M. Grayson, E Clerk of the Orphans ' Court ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF In Re: Estate of CUMBERLAND COUNTY HOCKENBERRY NATHAN RAY PENNSYLVANIA NO. 2004-00508 NOTICE OF FAILURE TO FILE STATUS REPORT Personal Representative: HOCKENBERRY KELLY RAY Counsel for Personal Representative: ROMINGER KARL ERNST Date of Decedent's Death: 5/14/2004 The Orphans' Court record indicates that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his,her or its Status Report required by Rule 6.12,Supreme Court Orphans' Court Rule and that the requisite notice,pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, is hereby given that you have ten(10)days to file the Status Report. If the required 6.12 form is not filed in accordance with Rule 6.12 the Court will be notified of such delinquency and the undersigned will request that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal presentative or counsel for the delinquent personal representative. Date: 6/1/2015 Lisa M. Grayson,Esq. Clerk of the Orphans' Court Distribution: Personal Representative Counsel for Personal Representative Estate File w M C— r c7 _ C. M, r I 1 N ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF In Re: Estate of CUMBERLAND COUNTY HOCKENBERRY NATHAN RAY : PENNSYLVANIA NO. 2004-00508 NOTICE OF FAILURE TO FILE STATUS REPORT Personal Representative: HOCKENBERRY SANDRA LOUISE Counsel for Personal Representative: ROMINGER KARL ERNST Date of Decedent's Death: 5/14/2004 The Orphans' Court record indicates that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his,her or its Status Report required by Rule 6.12,Supreme Court Orphans' Court Rule and that the requisite notice,pursuant to Rule 6.12, Supreme Court Orphans' Court Rules,is hereby given that you have ten(10)days to file the Status Report. If the required 6.12 form is not filed in accordance with Rule 6.12 the Court will be notified of such delinquency and the undersigned will request that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 6/1/2015 Lisa M.Grayson,Esq. Clerk of the Orphans' Court Distribution: Personal Representative Counsel for Personal Representative Estate File rn cy rn Q c-.. rpt C> r � c c? CD { C 7 e n CC r M _!� G7 C> IN RE: ESTATE OF ORPHANS' COURT DIVISION RECORDED OFFICE OF COURT OF COMMON PLEAS OF ROCKENBERRY NA'FH4N0 RAY 0 F V,'I L L S CUMBERLAND COUNTY PENNSYLVANIA 7015 U1 U N 22 101N,1 10 05 CLERK OF NO. 2004-00508 T HEARIN0UL OF FM 0.STATU'S REPORT AND REQUEST TCONDUCT A GP12, SUPREME COURT ORPHANS' CO OUR T RULE Personal Representative: HOCKENBERRY KELLY RAY Counsel for Personal Representative: ROMINGER KARL ERNST Date of Decedent's Death: 5/14/2004 Date of Delinquency Notice: 6/1/2015 The undersigned, Lisa M. Grayson, Esq., Clerk of Orphans' Court, in accordance with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County,that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme.Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules was given on the above date and that the ten (10) day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 6/16/2015 Lisa KIIIG'rayson, Esq. Distribution: Personal Representative Clerk of Orphans' Court Counsel for Personal Representative Estate File A hearing is scheduled for September 4,2015 at 9:30 am in Courtroom No. 4. If the Status Report is filed prior to the hearing date, the hearing will automatically be cancelled. Kevin-K Hess, P.J. IN RE: ESTATE OF ORPHANS' COURT DIVISION RECORDED OFFICE OF: COURT OF COMMON PLEAS OF HOCKENBERRY NATHAN RAYRE G I STE R CF 'VIILI-S CUMBERLAND COUNTY PENNSYLVANIA 2015 AN 22 AM 10 05 NO. 2004-00508 CLERK OF NOTICE OF FAILURE TO HU W f'169 kkPORT AND REQUEST TO CONDUCT A HEARING PURSUANT COURT ORPHANS' COURT RULE Personal Representative: HOCKENBERRY SANDRA LOUISE Counsel for Personal Representative: ROMINGER KARL ERNST Date of Decedent's Death: 5/14/2004 Date of Delinquency Notice: 6/1/2015 The undersigned, Lisa M. Grayson, Esq., Clerk of Orphans' Court, in accordance with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County,that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules was given on the above date and that the ten(10) day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 6/16/2015 Lisa M. Grayson, Esq. Distribution: Personal Representative Clerk of Orphans' Court Counsel for Personal Representative Estate File A hearing is scheduled for September 4,2015 at 9:30 am in Courtroom No. 4. If the Status Report is filed prior to the hearing date, the hearing will automatically be cancelled. 0 , -,Kevin.*.-00Hess, P.J.